| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,244 |
1,079 |
$25K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,506 |
1,320 |
$7K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
363 |
348 |
$7K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,875 |
1,203 |
$5K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
559 |
535 |
$406.60 |