| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
628 |
562 |
$20K |
| J7518 |
Mycophenolic acid, oral, 180 mg |
111 |
105 |
$17K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
281 |
262 |
$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 |
384 |
366 |
$1K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
501 |
352 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
293 |
276 |
$358.30 |