| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
3,139 |
2,563 |
$83K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
6,119 |
3,806 |
$29K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,599 |
1,164 |
$8K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,089 |
1,586 |
$622.63 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
5,956 |
4,847 |
$284.16 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
8,639 |
4,314 |
$189.37 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
26 |
24 |
$156.49 |