| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
577 |
506 |
$19K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
727 |
473 |
$7K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
788 |
709 |
$2K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
805 |
612 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
179 |
164 |
$148.35 |