| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
1,829 |
1,732 |
$158K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
3,189 |
2,791 |
$95K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
2,225 |
2,105 |
$48K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
3,331 |
3,232 |
$14K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
3,075 |
2,503 |
$5K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
3,131 |
2,902 |
$3K |