I also agree with 99213.
Problem - low for acute uncomplicated. If you wanted to stretch, MAYBE you could say acute complicated due to the ganglion cysts, but the provider specifically states the sprain is unrelated, so I would say low.
Data - none or minimal - possibly reviewed report of 1 test. It seems to indicate this practice ordered the MRI at prior visit, so review is included. You would potentially get to moderate if the physician performed independent interpretation of the MRI images, which is not documented here.
Risk - low for PT and OTC meds. You would only get moderate if there was prescription management, or surgery decision, or treatment limited by SDOH, or other treatment resulting in a higher risk than you have documented here.
So, even if you stretch the problem to moderate, you clearly don't have moderate for either data or risk.
I just don't see how to get to 99214 with this documentation.