$30 PCP turned into $500 bill
I'm trying to figure this one out. My wife took our daughter in for her yearly check up with her PCP last year. Just a routine visit, no issues with my daughter. In addition, my wife did have a school form she had prefilled for a sports clearance and all the doctor needed to do was sign. No physical exam was performed. Imagine my surprise to receive a $508 bill a few months later. We called the doctor's office and they said they were working with insurance. It seems at some point some of it must have gotten covered as it was reduced to $298, but still, I don't feel I owe anything other than our $30 copay. We have a PPO plan and this doctor is in network.
Can someone help make sense of why our insurance is denying the claims from the doctors office? Are they not coding correctly or are they double billing? It seems we were charged for an office visit (consultation 99408?), a second office visit (99394), but the other items I feel should have been a part of the routine yearly check up?