Ok, I have edited the flow to write the results to an excel file with 2 columns named approved and denied, as well as a few other fields like title, assigned to email, and description for tracking purposes.
Next I run a get rows command and specify to retrieve all of the rows in the spreadsheet.
Next I have a condition
@greaterOrEquals(body('Get_rows')['Approved'], 2)
if yes create item
if no send email
Is that the appropriate logic for the condition to evaluate the approved columns?