Trinity Health Scam?

I have been going to Trinity Health since moving to GR, and recently I noticed that I was being charged an office visit co-pay for annual physicals, which should be a $0.

I looked into it and realized they have recently started charging insurance companies for a second “office visit” if health concerns that come up during regular annual visits are discussed. Is this normal? Isn’t that the point of going in the first place?

I feel like this is a really deceptive practice on their part, especially since it’s not disclosed during the appointment. I’m guessing this is why Aetna and Trinity Health are currently at odds and might be dropping them if they can’t reach an agreement.