HCPCS J3380

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

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

544
81st percentile among 6,326 codes billed · 2022
$105M
98th percentile among 6,326 codes billed · 2022
6.1M
99th percentile among 6,326 codes billed · 2022
8,100
99th percentile among 6,326 codes billed · 2022
25,410
99th percentile among 6,326 codes billed · 2022
+36.4%
Medicare payment on the code vs 2021; billers +33.7% · 2022

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
Florida43$10,770,673621,94312,00122,470
New York28$6,502,722377,2499,30036,997
North Carolina32$5,633,156326,7006,75028,500
Tennessee18$5,563,950327,30013,95045,930
Nebraska32$5,473,947316,5009,30016,950
Illinois29$5,341,478311,4159,00022,260
Pennsylvania30$4,514,412262,7026,00022,185
Arizona24$4,498,609264,3008,25028,320
Virginia15$4,058,289240,6009,00047,700
Missouri11$4,038,746233,40020,70041,100
Texas23$3,884,367231,0019,00015,780
South Carolina14$3,839,459225,00016,35028,050
Indiana23$3,756,707217,5016,60133,450
California16$3,285,962190,2009,45023,550
Maryland17$3,149,330182,7009,90020,220

Not listed: 18 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN22$4,868,555282,90110,800
Miami-Fort Lauderdale-West Palm Beach, FL13$4,711,538272,40016,800
Phoenix-Mesa-Chandler, AZ23$4,296,412252,3007,800
Omaha, NE-IA20$4,099,466237,00012,000
Albany-Schenectady-Troy, NY17$3,529,940203,2307,800
Minneapolis-St. Paul-Bloomington, MN-WI28$3,059,221178,1005,700
New York-Newark-Jersey City, NY-NJ11$2,895,149168,90013,200
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD22$2,823,024164,1016,750
Washington-Arlington-Alexandria, DC-VA-MD-WV16$2,621,148152,4009,750
Asheville, NC15$1,560,23390,0005,700
Lincoln, NE12$1,374,48179,5006,150

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 11 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing J3380 nationally

Gastroenterology accounts for 50% of payment for J3380 nationally in 2022, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Gastroenterology32760%$52,849,83950%3,061,8709,364
Nurse Practitioner10419%$24,735,21724%1,449,01513,933
Rheumatology213.9%$6,103,6365.8%354,00016,857
Internal Medicine213.9%$4,116,9633.9%238,10011,338
Infectious Disease122.2%$3,781,5513.6%225,04118,753
Hematology-Oncology142.6%$3,215,0253.1%188,40213,457
Physician Assistant132.4%$2,386,5652.3%140,40110,800

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 2022.

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