HCPCS J3380

Injection, vedolizumab, intravenous, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2020 fee schedule; adds 0 work RVUs)

309
76th percentile among 6,116 codes billed · 2020
$54M
96th percentile among 6,116 codes billed · 2020
3.4M
98th percentile among 6,116 codes billed · 2020
7,500
99th percentile among 6,116 codes billed · 2020
29,880
99th percentile among 6,116 codes billed · 2020

Trend

Medicare payment on the code

$0$100M2020: $54M paid20202021: $77M paid20212022: $105M paid20222023: $120M paid20232024: $143M paid2024$143M$0$100M2020: $54M paid20202021: $77M paid20212022: $105M paid20222023: $120M paid20232024: $143M paid2024$143M$0$100M2020: $54M paid20202021: $77M paid20212022: $105M paid20222023: $120M paid20232024: $143M paid2024$143M$0$100M2020: $54M paid20202021: $77M paid20212022: $105M paid20222023: $120M paid20232024: $143M paid2024$143M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

05002020: 309 providers20202021: 407 providers20212022: 544 providers20222023: 620 providers20232024: 746 providers202474605002020: 309 providers20202021: 407 providers20212022: 544 providers20222023: 620 providers20232024: 746 providers202474605002020: 309 providers20202021: 407 providers20212022: 544 providers20222023: 620 providers20232024: 746 providers202474605002020: 309 providers20202021: 407 providers20212022: 544 providers20222023: 620 providers20232024: 746 providers2024746

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024746$143,429,242+20%8,328,8388,10029,0250.00
2023620$119,595,310+14%6,978,4118,10028,5290.00
2022544$104,791,257+36%6,101,1498,10025,4100.00
2021407$76,803,541+43%4,687,9248,10028,1400.00
2020309$53,854,100first year in data3,406,4037,50029,8800.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Florida28$5,699,375358,3619,60029,025
New York20$4,721,735294,9008,85034,395
Nebraska32$3,740,839234,9006,15015,570
Illinois21$3,603,850225,6208,10024,000
Tennessee12$3,326,164215,10113,35037,305
Missouri11$2,606,383162,30012,90028,500
North Carolina17$2,081,861129,0006,00014,700
Michigan12$2,039,715126,60010,35015,435
Pennsylvania15$2,034,567127,5007,50017,640
Minnesota20$1,845,930115,2005,4008,160
Alabama12$1,118,29072,0005,5508,610

Not listed: 26 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2020.

Top metro areas

observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN16$3,295,304206,42010,060
Omaha, NE-IA20$2,743,007173,1007,350
Albany-Schenectady-Troy, NY14$2,709,075168,9006,150
Minneapolis-St. Paul-Bloomington, MN-WI19$1,783,088111,3005,400
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD12$1,320,27781,9006,300
Lincoln, NE12$997,83261,8004,950

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 6 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2020.

Specialties billing J3380 nationally

Gastroenterology accounts for 52% of payment for J3380 nationally in 2020, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Gastroenterology19964%$27,845,38852%1,750,9588,799
Nurse Practitioner3712%$10,103,23919%642,31117,360
Rheumatology206.5%$4,306,1628.0%271,20213,560
Infectious Disease185.8%$3,196,7575.9%206,72011,484

Not listed: 10 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2020.

Top billers of J3380 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations