| Code | Description | Total Paid |
| S5130 |
Homemaker service, nos; per 15 minutes |
$994K |
| H2021 |
Community-based wrap-around services, per 15 minutes |
$932K |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
$931K |
| G0238 |
Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) |
$618K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
$395K |
| H0038 |
Self-help/peer services, per 15 minutes |
$11K |