| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
717 |
651 |
$49K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
748 |
591 |
$12K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
863 |
821 |
$4K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,246 |
810 |
$3K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
672 |
603 |
$866.09 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
115 |
111 |
$287.04 |
| A4259 |
Lancets, per box of 100 |
28 |
27 |
$43.51 |