I'm not billing a lot of annuals, usually bill 99214 based on problems addressed.
The statement sounds like you are performing an annual PE/preventive services at the visit, AND addressing (E/M) problems? If so, one simple adjustment to significantly improve revenue is to bill for both, using a -25 modifier on the 99214. You are doing the work required for the codes, you might as well get paid for it.
"Getting Paid":
www.aafp.org/fpm/2004/1000/p21.htmlAlso helpful: "How to Maximize Revenue With Minimal Effort":
www.aafp.org/fpm/2009/0500/p18.html