| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
11,869 |
10,418 |
$291K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
2,105 |
1,915 |
$133K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
4,253 |
3,100 |
$66K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
10,616 |
5,639 |
$42K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,123 |
1,024 |
$38K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
3,560 |
3,269 |
$24K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
209 |
171 |
$13K |
| J7515 |
Cyclosporine, oral, 25 mg |
498 |
468 |
$10K |
| J7520 |
Sirolimus, oral, 1 mg |
72 |
65 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
355 |
304 |
$2K |
| J7502 |
Cyclosporine, oral, 100 mg |
48 |
45 |
$1K |
| A4259 |
Lancets, per box of 100 |
72 |
53 |
$48.17 |