| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7527 |
Oral everolimus |
1,185 |
828 |
$207K |
| J7518 |
Mycophenolic acid |
4,970 |
4,207 |
$179K |
| J7503 |
Tacrol envarsus ex rel oral |
1,402 |
961 |
$68K |
| J7507 |
Tacrolimus imme rel oral 1mg |
6,189 |
4,120 |
$49K |
| J7512 |
Prednisone ir or dr oral 1mg |
4,202 |
3,693 |
$7K |
| A9999 |
Dme supply or accessory, nos |
122 |
61 |
$6K |
| Q0512 |
Px sup fee anti-can sub pres |
11,474 |
4,887 |
$2K |
| J7517 |
Mycophenolate mofetil oral |
74 |
63 |
$586.87 |
| Q0511 |
Sup fee antiem,antica,immuno |
4,584 |
4,009 |
$448.56 |
| A9279 |
Monitoring feature/devicenoc |
61 |
61 |
$0.00 |