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Comment: Several commenters stated that the 7.1 percent payment adjustment should be extended to urban SCHs and Medicare dependent hospitals (MDHs)

Cohort 2 consisted of patients 18 to 64 years of age who received 6 or more intramuscular injections (fee codes G372 and G373) within 1 year and had a vitamin B12 level laboratory test (fee code L345) 2 months before the intramuscular injection claim