| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
901 |
692 |
$3K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
745 |
714 |
$94.50 |
| J7518 |
Mycophenolic acid, oral, 180 mg |
37 |
37 |
$78.89 |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
25 |
24 |
$43.20 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
802 |
775 |
$0.00 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
1,765 |
799 |
$0.00 |