| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
559 |
437 |
$3K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
416 |
391 |
$2K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
442 |
418 |
$2K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
473 |
420 |
$1K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
212 |
202 |
$41.12 |