| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
925 |
853 |
$97.10 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,202 |
1,110 |
$28.80 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
528 |
487 |
$13.08 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
2,560 |
1,057 |
$0.00 |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,543 |
911 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13 |
12 |
$0.00 |