Medicare Pt receives 3 vaccines in the same visit and also Annual welllness is performed in the same visit – Flu, Pneumococcal and Hepatitis A.

Billed codes are as follows

99214 – 25
90670
90674
90632
90471
G0008
G0009
G0439

Medicare denied the cpt G0008, G0009 as"This service/procedure requires that a qualifying
service/procedure be received and covered" hence need coding assistance.

Please help!!!