[tgokh]

Anything that turns the "preventative" visit into an "evaluation and management" visit will often result in additional charge since they have different billing codes. Preventative visits are usually free under the ACA, but the E/M visit will require a co-pay. My parents moved and were looking to get an annual physical, and most of the clinics they called said up front that they would require a separate, paid, "meet the doctor" new-patient visit before they would schedule for a annual physical, even though they didn't want to have any of their conditions managed and just wanted an annual physical exam.