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Background Medicare beneficiaries' care is becoming more fragmented as they are increasingly seeing (1) more specialists and (2) specialists more often, while the number of visits with their primary care clinician remains relatively constant

We note that CMS covers and pays for Part B vaccines, which are also considered preventive services under sections 1861(ddd)(3) and 1861(ww)(2)(A) of the Act, but they have unique payment rates specified in statute at section 1842(o)(1)(A)(iv) of the Act (for more information, see above at section III.H.1.a

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Preventive Medicine, Individual Counseling 99401 Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure)