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The examination consists of seven components: Certain screenings, flu and pneumococcal shots, and referrals for other care, if needed Height, weight and blood pressure measurements Calculation of body mass index (BMI) A simple vision test A review of potential risk factors for depression and level of safety An offer to discuss advanced directives A written plan letting the patient know which screenings, shots, and other preventative services they need Coding for this initial exam is unique to Medicare