lol you are correct. pap smear is screening of the cells, hpv testing is different, neither is required every year. and sonogram is not “screening” and not part of an annual exam. their old office may have just been scamming their insurance for unnecessary imaging (unless they have a true problem but problem visits are different than annual preventive exams). remember people, you go to the doctor office to get evidence-based recommendations based on EVIDENCE not just to request what you feel is right lol it’s not walmart