| E1007 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | 700 | $2,960 | $2.1M |
| 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… | 1,030 | $800 | $823.9K |
| K0861 | Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | 120 | $2,400 | $283K |
| E1012 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | 4,010 | $60 | $228.3K |
| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 2,400 | $70 | $167.8K |
| E1002 | Wheelchair accessory, power seating system, tilt only | 90 | $1,480 | $132.8K |
| K0823 | Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds | 1,000 | $120 | $118K |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | 1,210 | $90 | $108.8K |
| E2377 | Power wheelchair accessory, expandable controller, including all related electronics and mounting hardware, upgrade provided at initial issue | 710 | $140 | $99K |
| E2313 | Power wheelchair accessory, harness for upgrade to expandable controller, including all fasteners, connectors and mounting hardware, each | 680 | $130 | $86K |