| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,228 |
1,155 |
$272.10 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
1,415 |
1,340 |
$139.20 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
2,521 |
1,340 |
$128.00 |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,039 |
977 |
$36.70 |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,179 |
1,115 |
$11.62 |