| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7527 |
Everolimus, oral, 0.25 mg |
424 |
376 |
$287K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
1,523 |
1,289 |
$151K |
| J7520 |
Sirolimus, oral, 1 mg |
492 |
429 |
$36K |
| J7515 |
Cyclosporine, oral, 25 mg |
921 |
827 |
$22K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
503 |
430 |
$11K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,876 |
1,718 |
$9K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
2,190 |
1,806 |
$8K |
| J7502 |
Cyclosporine, oral, 100 mg |
286 |
256 |
$8K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
31 |
24 |
$21.32 |