| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
537 |
476 |
$45K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
908 |
691 |
$10K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
279 |
250 |
$6K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,074 |
950 |
$2K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,502 |
889 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
294 |
262 |
$65.53 |
| J7527 |
Everolimus, oral, 0.25 mg |
17 |
12 |
$0.00 |