| E1007 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | 1,680 | $2,940 | $4.9M |
| K0861 | Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | 650 | $2,350 | $1.5M |
| E2311 | Power wheelchair accessory, electronic connection between wheelchair controller and two or more power seating system motors, including all related electronics, indicator feature, mechanical function… | 2,010 | $740 | $1.5M |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 4,230 | $180 | $778.7K |
| E1012 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | 2,060 | $270 | $563.2K |
| E2377 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue | 1,580 | $180 | $282.6K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 3,930 | $70 | $267.5K |
| K0825 | Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds | 1,000 | $250 | $246.2K |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | 2,610 | $70 | $188.1K |
| K0821 | Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds | 3,050 | $60 | $180K |