| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
6,576 |
5,852 |
$19K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
5,579 |
5,202 |
$14K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
431 |
426 |
$2K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
261 |
243 |
$806.24 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
4,665 |
4,430 |
$542.97 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
11,702 |
6,436 |
$224.00 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
5,714 |
5,477 |
$71.78 |