| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,902 |
1,476 |
$3K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,674 |
1,490 |
$2K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
608 |
550 |
$2K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
2,669 |
2,470 |
$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 |
4,838 |
2,431 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,230 |
2,024 |
$171.11 |