For the CMS 155 quality (and MIPS) measure of Weight Assessment and Counseling for Physical Activity and Nutrition for Adolescents, the definition states children aged 3-17 with an outpatient visit with a primary care provider (PCP) or OB/GYN within the measurement period. The CPT encounter codes are not specific to PCPs or OB/GYN providers. The reports run by our EHR (Epic) produce visits from every specialty provider the patient has seen during the measurement period (examples: orthopedics, neurology, pulmonology, cardiology, etc). This can equate approximately 30,000 visits. These numbers increase our denominator and negatively affect our quality measure scores.