| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
10,424 |
4,863 |
$175K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
5,053 |
3,735 |
$69K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
10,213 |
7,330 |
$45K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
12,584 |
7,518 |
$43K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
10,355 |
7,578 |
$3K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
15,913 |
12,331 |
$2K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
32,599 |
12,997 |
$1K |
| A4215 |
Needle, sterile, any size, each |
12 |
12 |
$190.00 |