| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
12,362 |
11,090 |
$172K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
10,265 |
9,389 |
$163K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
2,182 |
2,024 |
$123K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
14,365 |
11,939 |
$8K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
23,131 |
12,369 |
$6K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
9,870 |
8,995 |
$5K |
| J7502 |
Cyclosporine, oral, 100 mg |
25 |
24 |
$1K |
| J7500 |
Azathioprine, oral, 50 mg |
176 |
161 |
$854.00 |
| Q0510 |
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant |
119 |
114 |
$0.00 |