| I would say to look at exactly what the exact insurance coding for the billing is.
Normally a basic physcial exam is one billing code, if there was some level of physical exam beyond a basic physcial exam, then this would be an addition coding.
for example, I sell medical supplies, if you buy for example an electric wheel chair, I will bill it out as a basic chair, I will also bill out the arm rests as an additional code and fee, plus the seat belt on it as an additoinal billing code and an additional fee, I will also charge another charge for the batteries in the chair.
Each and every part has its own specific billing code, this is exactly the same with a doctors office visit, normally you get a baisc office visit fee, and then anything else they do will have an additional fee.
You can and should talk to them, at times mistakes in billing happens, but most likely this is the allowed insurance billing amounts according to insurace coding rules.
Also remember ( esp if you don't have insurance) all fees and payments are and can be negotiated. Normally after my insurance pays thier 80 percent, I settle with the doctors or hospitals for about 2/3 of what the balance is just by asking. | 
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