| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
8,804 |
7,729 |
$139K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
5,739 |
5,350 |
$72K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
1,173 |
1,088 |
$58K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
9,187 |
7,998 |
$32K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
12,073 |
7,185 |
$30K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,564 |
4,216 |
$2K |