Are Programmatic Audits Common in Your Market?

Do you see programmatic audits happening in your market? Does your agency provide these audits? Do you occasionally undergo such audits? By audits, I don't just mean the traditional media buying audit with complex excel sheets. Instead, I refer to audits that review programmatic strategy, setup, structure, campaigns, creatives, tech stack, performance/optimizations, opportunities, etc. It would be interesting to know if these audits are prevalent and which market you operate in. Smaller markets usually don't have many large advertisers or budgets, so the capacity for such audits may be limited. However, I believe many could benefit from a fresh perspective now and then. Thanks in advance!