What does an annual plus 99214 look like hpi & a/p wise?

For those “oh yea and there’s also…” moments. I typically bill annual plus 99213 if I’m refilling or looking at a lot of meds but I don’t document much if they’re stable. With that being said, documenting those additional few points is super easy and I wonder if most of my visits could be annuals plus 99214.

What would my note have to consist of to ensure I don’t get audited for an annual+ 99214 if you assume I refill all medsand adjust one, order/review labs in addition preventive stuff orders. Meaning would I need to write an hpi equivalent to level 4 plus do the a/p as a level 4 and basically “insert” it into the appropriate spots on the annual exam “note”?

My annuals are straight forward, more or less “screening ” but many expect me to adjust their meds or address back pain or something chronic in addition to the “physical exam”. I actively avoid additional problems but with access issues and seeing aprns bill 99214 because they prescribed augmentin for a cough has me wondering….

Thanks! I’m an internist doing outpatient med but figure same rules apply.

Example:

my annual is hpi:Doing well no complaints care gaps reviewed. Insert collapsible mumbo jumbo objective A/p: doing well etc etc insert smartphrase with standard annual recs.

99214: hpi: dm controlled on current meds no s/e labs reviewed and stable. “Repeat for bp”. “Repeat for cholesterol” etc if they have more. Insert collapsible objective mumbo jumbo A/p: dm/bp/choledterol— insert stable continue meds follow labs smart phrase under each diagnosis.

This is the “typical” rough layout of my notes in epic.