| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
5,560 |
3,887 |
$39K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
8,085 |
4,222 |
$15K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
5,636 |
4,592 |
$14K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
3,101 |
2,724 |
$5K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,435 |
2,049 |
$360.40 |