| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
5,718 |
5,176 |
$229K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
1,184 |
1,033 |
$216K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
12,318 |
10,670 |
$139K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
6,531 |
5,660 |
$47K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
24,968 |
12,116 |
$22K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
11,987 |
11,141 |
$21K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
9,510 |
8,641 |
$16K |
| Q0510 |
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant |
24 |
23 |
$40.00 |