| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
701 |
430 |
$132K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
6,367 |
5,289 |
$105K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
4,709 |
4,467 |
$85K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
1,012 |
965 |
$67K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
10,851 |
6,105 |
$30K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
7,298 |
6,944 |
$28K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,136 |
3,903 |
$2K |