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My GP had my serum B12 retested and my serum MMA tested: as she suspected, I had functional B12 deficiency, a diagnosis confirmed by the testing laboratory, which means that high levels of both in the bloodstream are due to them not making the connection necessary to transport the B12 to cells and tissues

Additionally, based on our calculation of cost performance category scores for the CY 2022 performance period/2024 MIPS payment year, we observed lower scores for the cost performance category than for the quality performance category, even though they each generally constitute 30 percent of the final score

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For example, hydroxocobalamin lasts longer, so its given less often

Supports metabolism Helps convert food into energy more efficiently

Response: We appreciate the additional discussion of the clinical nature of CPT code 61715 from the commenters and its intensity relative to the various reference codes discussed above