Flu Vaccines

Hi! I am starting Family Practice billing. I am more accustomed to billing and coding for specialties so I am starting out slow here. I am a little stumped with flu vaccine billing. Medicare references show that Q codes (HCPCS) can be used. Can the CPT codes be billed to and reimbursed by Medicare (90653, 90658 in example), or does Medicare only accept the Q codes? Can anyone shed some light on this for me?

Thanks,
Beth

Flu Vaccines