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Insurance coverage for B12 injections can vary greatlysome insurers may cover the injections if deemed medically necessary, such as for diagnosed deficiencies or associated conditions, while others classify these injections as elective and may not provide coverage

We also excluded 968,434 30-day periods of care that had claim occurrence code 50 date before January 1, 2021 to ensure the 30-day period would not be part of a simulated 60-day episode that began in CY 2020
