A 10-year-old new patient is seen for a preventive medicine visit. His body mass index (BMI) is calculated and determined to be at the 95th percentile. The examination is normal with the exception of obesity. He does have a family history of diabetes and heart disease. Vision and hearing screening is performed, blood is drawn via venipuncture and sent to an outside laboratory for testing, and a purified protein derivative (PPD) test for tuberculosis (TB) is performed. The child is given a diet and exercise log to complete before the next scheduled visit.

At the follow-up visit, the physician meets with the child and parents and reviews the results of the laboratory and PPD tests (normal results) and the completed diet and exercise log. Nutritional counseling is performed and a diet and exercise program is initiated. The total face-to-face visit is 25 minutes. A follow-up visit is scheduled in 1...

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