In the example shown, there is not much to go with. You mention the History and MDM, however what about the Physical Exam? Don't forget that the History consists of more than just the HPI, but also the ROS and PFSMH as well. As you know, in order to determine the E/M level of an Established Patient, we will need 2 out of the 3 E/M components (History, Exam and/or MDM). Since you are not providing any Exam examples, I would have to default to the History and MDM as viable components.
Other coders might disagree, but when the provider explains "Continue medication", assigning the Risk can be a little troublesome. I would like to see at least the name of the drug and the status of the condition being treated.
Overall, I would like more information of the chart in order to determine the E/M level, otherwise this looks either like a 99212 or 99213.