| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
12,758 |
9,078 |
$227K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
20,886 |
12,990 |
$82K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
3,605 |
2,692 |
$11K |
| J7520 |
Sirolimus, oral, 1 mg |
821 |
401 |
$4K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
16,362 |
12,245 |
$3K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
29,469 |
12,978 |
$3K |
| J7527 |
Everolimus, oral, 0.25 mg |
90 |
66 |
$2K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
6,069 |
4,120 |
$2K |
| Q0510 |
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant |
55 |
47 |
$0.80 |