| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
1,245 |
1,201 |
$105K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
3,545 |
2,889 |
$71K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,744 |
1,665 |
$39K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
3,715 |
3,586 |
$21K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
6,714 |
3,685 |
$14K |
| 99605 |
|
33 |
31 |
$2K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
3,110 |
2,998 |
$2K |
| 99607 |
|
20 |
18 |
$430.00 |