| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7527 |
Everolimus, oral, 0.25 mg |
1,185 |
828 |
$207K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
4,970 |
4,207 |
$179K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
1,402 |
961 |
$68K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
6,189 |
4,120 |
$49K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,202 |
3,693 |
$7K |
| A9999 |
Miscellaneous dme supply or accessory, not otherwise specified |
122 |
61 |
$6K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
11,474 |
4,887 |
$2K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
74 |
63 |
$586.87 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
4,584 |
4,009 |
$448.56 |
| A9279 |
Monitoring feature/device, stand-alone or integrated, any type, includes all accessories, components and electronics, not otherwise classified |
61 |
61 |
$0.00 |