| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J7518 |
Mycophenolic acid, oral, 180 mg |
2,684 |
1,398 |
$135K |
| J7503 |
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg |
1,228 |
532 |
$90K |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
4,084 |
2,041 |
$31K |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
5,874 |
3,261 |
$13K |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
7,763 |
2,778 |
$11K |
| J7517 |
Mycophenolate mofetil, oral, 250 mg |
1,118 |
628 |
$8K |
| J7512 |
Prednisone, immediate release or delayed release, oral, 1 mg |
1,847 |
940 |
$696.87 |