| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
766 |
684 |
$14K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
420 |
372 |
$12K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
522 |
470 |
$6K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
443 |
416 |
$1K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,174 |
974 |
$163.20 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,209 |
802 |
$44.80 |