| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
892 |
849 |
$32K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
1,662 |
1,305 |
$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 |
2,909 |
2,670 |
$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 |
4,055 |
2,434 |
$8K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
15 |
12 |
$2K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
767 |
709 |
$65.29 |