| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,694 |
1,347 |
$31K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
298 |
285 |
$13K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
385 |
335 |
$9K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,761 |
1,691 |
$7K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
2,580 |
1,513 |
$5K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
264 |
251 |
$115.59 |