| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
1,627 |
1,273 |
$33K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
9,381 |
5,135 |
$32K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
3,835 |
2,932 |
$17K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
3,734 |
2,898 |
$2K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
7,936 |
5,859 |
$949.32 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
12,331 |
5,418 |
$420.48 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
16 |
13 |
$106.95 |
| Q0510 |
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant |
54 |
48 |
$10.00 |