| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
2,454 |
1,807 |
$59K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
5,502 |
3,932 |
$40K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
2,174 |
1,735 |
$19K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,836 |
3,569 |
$1K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
4,362 |
3,884 |
$1K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
7,916 |
4,173 |
$735.97 |