HCPCS J3380

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

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

620
83rd percentile among 6,405 codes billed · 2023
$120M
98th percentile among 6,405 codes billed · 2023
7.0M
99th percentile among 6,405 codes billed · 2023
8,100
99th percentile among 6,405 codes billed · 2023
28,529
99th percentile among 6,405 codes billed · 2023
+14.1%
Medicare payment on the code vs 2022; billers +14.0% · 2023

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
Florida49$12,823,254743,41212,60033,240
New York25$6,751,417392,41513,50040,983
Tennessee22$6,510,374384,90012,30043,980
Illinois34$6,250,016365,7178,70025,095
Nebraska36$6,117,596354,9018,10018,450
Missouri21$5,882,074340,41010,80036,900
North Carolina31$5,313,630309,9226,30033,601
Pennsylvania40$5,216,689304,5015,55017,835
California25$4,463,047258,9009,30017,340
South Carolina18$4,158,478243,00011,40025,425
Ohio28$4,092,742240,9296,15120,685
Texas22$4,025,597239,1009,45018,090
Virginia15$3,868,065227,4007,20046,740
Maryland18$3,839,521222,60010,65021,285
Indiana17$3,616,609213,0077,20041,340

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 2023.

Top metro areas

observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN25$5,750,213335,40010,500
Miami-Fort Lauderdale-West Palm Beach, FL14$4,707,898272,70215,451
Omaha, NE-IA23$4,548,800263,40110,800
New York-Newark-Jersey City, NY-NJ13$4,109,162237,90015,600
Philadelphia-Camden-Wilmington, PA-NJ-DE-MD28$3,675,294212,1016,001
Albany-Schenectady-Troy, NY15$3,261,124188,4008,400
Phoenix-Mesa-Chandler, AZ23$2,997,988175,2006,300
Minneapolis-St. Paul-Bloomington, MN-WI26$2,900,894169,5004,950
Washington-Arlington-Alexandria, DC-VA-MD-WV18$2,664,901155,1008,250
North Port-Bradenton-Sarasota, FL11$2,660,131153,90014,100
Austin-Round Rock-San Marcos, TX11$1,957,248115,50012,900
St. Louis, MO-IL11$1,844,444107,0108,700
Lincoln, NE13$1,568,79691,5007,200
Jackson, MS11$1,568,42590,3608,700
Denver-Aurora-Centennial, CO11$1,468,48386,4018,400

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 17 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2023.

Specialties billing J3380 nationally

Gastroenterology accounts for 51% of payment for J3380 nationally in 2023, across 7 specialties on claims.

observed calculated calculated calculated calculated calculated
Gastroenterology38462%$61,485,22551%3,582,0469,328
Nurse Practitioner11318%$28,708,00924%1,677,01014,841
Rheumatology203.2%$6,597,1675.5%382,50019,125
Infectious Disease142.3%$4,495,1743.8%262,81018,772
Internal Medicine233.7%$4,229,9743.5%248,40710,800
Hematology-Oncology193.1%$3,730,7353.1%220,51611,606
Physician Assistant121.9%$2,334,4342.0%136,50511,375

Not listed: 11 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 2023.

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