| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
5,375 |
3,885 |
$68K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
3,345 |
3,075 |
$44K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
491 |
350 |
$32K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
5,191 |
4,897 |
$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 |
7,421 |
5,160 |
$7K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
588 |
551 |
$3K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
2,601 |
2,357 |
$2K |
| A4259 |
Lancets, per box of 100 |
12 |
12 |
$3.65 |