| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
3,981 |
3,529 |
$190K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
756 |
660 |
$127K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
6,270 |
5,445 |
$106K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
9,742 |
9,040 |
$86K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
11,339 |
9,111 |
$58K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
6,609 |
6,087 |
$52K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
2,140 |
1,966 |
$36K |