| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4239 |
Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
564 |
561 |
$21K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
683 |
464 |
$2K |
| K0553 |
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service |
43 |
43 |
$2K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
27 |
24 |
$101.52 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
761 |
710 |
$66.28 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,478 |
811 |
$3.55 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
845 |
797 |
$0.00 |