| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
283 |
132 |
$11K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
79 |
72 |
$4K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
13 |
13 |
$2K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
31 |
25 |
$462.25 |
| 0001A |
|
190 |
190 |
$0.00 |
| 0011A |
|
33 |
33 |
$0.00 |
| 0031A |
|
14 |
14 |
$0.00 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
12 |
12 |
$0.00 |
| 0012A |
|
30 |
30 |
$0.00 |
| 0002A |
|
200 |
200 |
$0.00 |