| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
314 |
253 |
$5K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
263 |
238 |
$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 |
287 |
194 |
$426.30 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
173 |
164 |
$422.77 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
65 |
57 |
$195.53 |