HCPCS J3380

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

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

407
78th percentile among 6,253 codes billed · 2021
$77M
97th percentile among 6,253 codes billed · 2021
4.7M
98th percentile among 6,253 codes billed · 2021
8,100
99th percentile among 6,253 codes billed · 2021
28,140
99th percentile among 6,253 codes billed · 2021
+42.6%
Medicare payment on the code vs 2020; billers +31.7% · 2021

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
Florida31$7,272,177440,44011,70033,000
New York25$5,841,006354,3007,80031,140
Illinois25$5,358,180323,73211,40026,160
Nebraska31$4,657,668280,2008,10016,200
Tennessee15$4,541,030279,90115,90040,290
Arizona22$3,292,732201,6067,80019,275
Pennsylvania21$3,225,719197,4056,00020,100
Virginia12$2,942,007184,5005,70058,305
Michigan13$2,815,169169,5019,60025,081
South Carolina11$2,657,302165,60014,70028,500
Minnesota23$2,467,453149,1005,1009,600
Maryland14$2,444,531149,4009,90018,945
North Carolina18$2,409,111146,4005,40014,775
Texas14$2,267,585146,4008,85023,580
Indiana14$2,236,852134,1006,00028,065

Not listed: 21 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 2021.

Top metro areas

observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN21$4,911,982297,03211,400
Omaha, NE-IA20$3,600,326216,60010,650
Albany-Schenectady-Troy, NY18$3,349,146201,3007,200
Phoenix-Mesa-Chandler, AZ22$3,292,732201,6067,800
Minneapolis-St. Paul-Bloomington, MN-WI22$2,367,667143,1005,100
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD12$1,665,024102,6057,200
Lincoln, NE11$1,057,34263,6005,100
Asheville, NC11$930,48356,1005,400

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 8 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing J3380 nationally

Gastroenterology accounts for 49% of payment for J3380 nationally in 2021, across 5 specialties on claims.

observed calculated calculated calculated calculated calculated
Gastroenterology24460%$37,855,06649%2,292,9489,397
Nurse Practitioner6616%$17,016,44722%1,046,12415,850
Rheumatology225.4%$5,110,6976.7%309,03414,047
Infectious Disease225.4%$4,929,3716.4%308,10914,005
Internal Medicine153.7%$2,230,0742.9%134,4018,960

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 2021.

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