| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
5,178 |
4,283 |
$9K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
4,165 |
3,569 |
$7K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
7,700 |
4,119 |
$312.79 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,881 |
1,640 |
$102.32 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
4,017 |
3,511 |
$42.79 |