| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
167 |
149 |
$3K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
229 |
132 |
$716.20 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
186 |
168 |
$201.37 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
75 |
69 |
$190.37 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
583 |
285 |
$127.11 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
253 |
231 |
$119.79 |