Medicare annual wellness visit

We are a rural health clinic and therefore our provider must see the patient in order to get payment so my question is; our providers are looking at the annual wellness visit the same as typical annual exam where you go over everything. When would you add a EM code. I understand if they are in for a new problem also but if they are going over their laundry list of problems along with the other requirements for the annual visit, do you add an EM.
Thanks,
Joanne
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