| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
2,303 |
1,720 |
$66K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
2,272 |
1,998 |
$45K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
2,476 |
2,212 |
$15K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
4,119 |
2,354 |
$14K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
113 |
75 |
$11K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
782 |
696 |
$282.13 |