| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
2,522 |
1,683 |
$44K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
3,271 |
2,988 |
$27K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
6,760 |
4,751 |
$23K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
3,444 |
3,157 |
$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 |
9,183 |
8,631 |
$5K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
14,005 |
7,871 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
749 |
684 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,822 |
4,458 |
$611.85 |
| A4259 |
Lancets, per box of 100 |
145 |
140 |
$36.63 |