| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
502 |
442 |
$80K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
560 |
540 |
$41K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
551 |
522 |
$10K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,204 |
1,154 |
$5K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,698 |
1,110 |
$4K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
802 |
766 |
$355.80 |