| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
3,656 |
2,409 |
$34K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
266 |
243 |
$27K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,515 |
1,400 |
$21K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
2,846 |
2,599 |
$10K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
5,160 |
2,413 |
$8K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,953 |
1,794 |
$768.50 |