denied claim

Billed:
99396-59, annual physical, V70.0
93000, EKG, V70.0
99213-25, office visit, 244.8, 380.4, 272.0
69210, cerumen removal, 380.4

Was reimbursed for the 99213 and the 69210. Not paid for 99396 (1) or 93000 (2).

Reasons: (1) This medical visit is included in the associated surgical procedure performed on the same date of service and submitted on this claim. (2) This procedure code represents services integral to the more complex primary procedure submitted on this claim.

Did I submit modifiers incorrectly? Is there anything you can recommend I do differently?