| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
5,338 |
4,782 |
$251K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
7,101 |
6,006 |
$95K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
6,717 |
6,267 |
$24K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,536 |
1,405 |
$16K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
7,626 |
5,630 |
$16K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
87 |
49 |
$13K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,066 |
974 |
$306.23 |