| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A9276 |
Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
41 |
40 |
$15K |
| A9277 |
Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system |
12 |
12 |
$7K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,271 |
976 |
$3K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
75 |
73 |
$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 |
1,546 |
1,480 |
$127.80 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,946 |
1,243 |
$32.84 |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
13 |
13 |
$17.28 |