| E1028 | Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other | 1 | 10 | 1,900 | $90 | $157K |
| K0108 | Wheelchair component or accessory, not otherwise specified | 1 | 10 | 890 | $110 | $155.6K |
| K0861 | Power wheelchair, group 3 standard, multiple power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds | 1 | 10 | 50 | $2,470 | $115.9K |
| E2361 | Power wheelchair accessory, 22nf sealed lead acid battery, each, (e.g., gel cell, absorbed glassmat) | 2 | 10 | 520 | $170 | $103.1K |
| E1007 | Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction | 1 | 10 | 40 | $2,650 | $100.5K |
| E2366 | Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each | 4 | 10 | 140 | $160 | $62.5K |
| E1012 | Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each | 1 | 10 | 180 | $280 | $50.9K |
| 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 | 10 | 50 | $720 | $35.9K |
| E2370 | Power wheelchair component, integrated drive wheel motor and gear box combination, replacement only | 1 | 10 | 110 | $310 | $35.6K |
| K0739 | Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes | 1 | 10 | 440 | $40 | $32.5K |