I have to sign a form when I check in for my physical that says that I acknowledge that any medical-related questions I ask during my physical, are billable outside of my physical. I literally ask nothing. I barely conversate - just nod my head.
My adult daughter’s PCP charges a line item of $75 on her yearly physical because they ask a general mental health question (insurance won’t cover the mental health question so the practice sends her a bill for the $75). My daughter flat out refuses to pay it and has instructs them not to even ask it.
I have decided that my yearly physical is unnecessary. I come in for yearly bloodwork, the results of which my PCP posts to my electronic chart, and she also posts a letter explaining the results. I have a yearly mammogram and a female exam once every 2-3 years.