I am looking for clarification for Medicare replacement plans ( Humana, United Health Care AARP...) They allow for an Annual Wellness Exam G0438 and a Annual Routine Exam 99385-99387 or 99395-99397. I am trying to clarify what the difference is between these two examinations and can they be done and billed at the same time. I believe that the Annual Wellness exam is more reviewing family history, risk factors for depression, functional ability assessment, vital signs, cognitive impairment exam and establishing screening schedules for the next 5-10 years along with risk factor and preventive education. An Annual Routine examination is more hands on with a review of all systems and ordering any necessary testing based on the review of systems. Is this a correct assessment? and if so can they not be done at the same time reducing the need to have a patient have two different visits for routine examination?