| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,305 |
998 |
$17K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
668 |
565 |
$14K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,495 |
1,229 |
$5K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
2,317 |
1,209 |
$5K |
| J7500 |
Azathioprine, oral, 50 mg |
51 |
38 |
$201.77 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
438 |
364 |
$115.52 |