J3373 – Inj, vancomycin hcl, 10 mg · NDC Crosswalk & Billing Units
📋 J3373 summary
J3373 is a HCPCS Level II J-code used to bill vancomycin hcl, 10 mg, billed per 10 MG. The number of billing units to report depends on the dose administered and the NDC/package billed — use the calculator below.
Brand names associated with J3373: Vancomycin Hcl-0.9% Nacl(J3373)*, Vancomycin Hydrochloride, Vancomycin
⚠ An NDC↔HCPCS crosswalk and a published payment limit do not guarantee payer coverage or payment. Always verify the current payer policy and claim format before billing.
🗂️ Key billing facts
💊 About Vancomycin Injection DRUG GUIDE
Vancomycin Hydrochloride for Injection given intravenously treats serious infections in adults and children under 18, including septicemia (bloodstream infection), infective endocarditis (heart valve infection), skin and skin structure infections, bone infections, and lower respiratory tract infections.
It is especially useful against methicillin-resistant Staphylococcus aureus (MRSA) and in patients who are allergic to penicillin.When given orally (by mouth), Vancomycin Hydrochloride for Injection treats Clostridioides difficile-associated diarrhea (C.
diff) and enterocolitis caused by Staphylococcus aureus in adults and children under 18.
Important: the oral route does NOT work for bloodstream or other systemic infections, and the intravenous route does NOT work for C.
🧾 Billing & reimbursement HCPCS · CMS · EFF. Q3 2026
🧮 Dosing & billing-units calculator HCPCS UNITS
🔁 NDCs that bill under J3373 LEAST EXPENSIVE FIRST
| NDC (11-digit) | Drug | Labeler | Package | Strength | Bill units | Est. pay / pkg | NADAC / unit | Status | Source |
|---|---|---|---|---|---|---|---|---|---|
| 00409-4332-01 | Vancomycin Hydrochloride 500 mg/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 10 VIAL in 1 TRAY (0409-4332-01) / 1 INJE... | 500 mg/1 | 500 | $16.50 | $2.305 | ● Active | CMS + PDAC |
| 25021-0150-10 | Vancomycin Hydrochloride 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sagent | 10 VIAL in 1 CARTON (25021-150-10) / 10 m... | 500 mg/10mL | 500 | $16.50 | $2.305 | ● Active | CMS + PDAC |
| 67457-0339-50 | Vancomycin Hydrochloride 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Mylan | 10 VIAL in 1 CARTON (67457-339-50) / 10 m... | 500 mg/10mL | 500 | $16.50 | $2.305 | ● Active | CMS ASP |
| 70436-0020-82 | VANCOMYCIN HYDROCHLORIDE 500 mg/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Slate | 10 VIAL in 1 CARTON (70436-020-82) / 1 IN... | 500 mg/1 | 500 | $16.50 | $2.305 | ● Active | CMS + PDAC |
| 70594-0122-02 | Vancomycin Hydrochloride 500 mg/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Xellia | 10 VIAL, GLASS in 1 CARTON (70594-122-02)... | 500 mg/1 | 500 | $16.50 | $2.305 | ● Active | CMS ASP |
| 71288-0022-11 | Vancomycin Hydrochloride 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Meitheal | 10 VIAL, SINGLE-DOSE in 1 CARTON (71288-02... | 500 mg/10mL | 500 | $16.50 | $2.305 | ● Active | CMS + PDAC |
| 31722-0210-10 | VANCOMYCIN HYDROCHLORIDE 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Camber | 10 VIAL in 1 CARTON (31722-210-10) / 10 m... | 500 mg/10mL | 50 | $1.65 | $2.305 | ● Active | PDAC |
| 00143-9355-10 | Vancomycin Hydrochloride 750 mg/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hikma | 10 VIAL in 1 CARTON (0143-9355-10) / 1 IN... | 750 mg/1 | 750 | $24.75 | — | ● Active | CMS + PDAC |
| 00143-9357-10 | Vancomycin Hydrochloride 1 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hikma | 10 VIAL in 1 CARTON (0143-9357-10) / 1 IN... | 1 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 00143-9358-01 | Vancomycin Hydrochloride 5 g/1 INJECTION, POWDER, FOR SOLUTION | Hikma | 1 INJECTION, POWDER, FOR SOLUTION in 1 CAR... | 5 g/1 | 500 | $16.50 | — | ● Active | CMS + PDAC |
| 00143-9359-01 | Vancomycin Hydrochloride 10 g/1 INJECTION, POWDER, FOR SOLUTION | Hikma | 1 INJECTION, POWDER, FOR SOLUTION in 1 BOT... | 10 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 00338-0122-04 | VANCOMYCIN HYDROCHLORIDE 1.25 g/250mL INJECTION, SOLUTION | Baxter | 250 mL in 1 BAG (0338-0122-04) | 1.25 g/250mL | 500 | $16.50 | — | ● Active | CMS ASP |
| 00338-0124-04 | VANCOMYCIN HYDROCHLORIDE 1.5 g/300mL INJECTION, SOLUTION | Baxter | 300 mL in 1 BAG (0338-0124-04) | 1.5 g/300mL | 600 | $19.80 | — | ● Active | CMS ASP |
| 00338-3551-48 | VANCOMYCIN HYDROCHLORIDE 500 mg/100mL INJECTION, SOLUTION | Baxter | 100 mL in 1 BAG (0338-3551-48) | 500 mg/100mL | 600 | $19.80 | — | ● Active | CMS + PDAC |
| 00338-3552-48 | VANCOMYCIN HYDROCHLORIDE 1 g/200mL INJECTION, SOLUTION | Baxter | 200 mL in 1 BAG (0338-3552-48) | 1 g/200mL | 600 | $19.80 | — | ● Active | CMS + PDAC |
| 00338-3580-48 | VANCOMYCIN HYDROCHLORIDE 750 mg/150mL INJECTION, SOLUTION | Baxter | 200 mL in 1 BAG (0338-3580-48) | 750 mg/150mL | 450 | $14.85 | — | ● Active | CMS ASP |
| 00338-3581-01 | VANCOMYCIN HYDROCHLORIDE 500 mg/100mL INJECTION, SOLUTION | Baxter | 100 mL in 1 BAG (0338-3581-01) | 500 mg/100mL | 600 | $19.80 | — | ● Active | CMS + PDAC |
| 00338-3582-01 | VANCOMYCIN HYDROCHLORIDE 750 mg/150mL INJECTION, SOLUTION | Baxter | 150 mL in 1 BAG (0338-3582-01) | 750 mg/150mL | 450 | $14.85 | — | ● Active | CMS + PDAC |
| 00338-3583-01 | VANCOMYCIN HYDROCHLORIDE 1 g/200mL INJECTION, SOLUTION | Baxter | 200 mL in 1 BAG (0338-3583-01) | 1 g/200mL | 600 | $19.80 | — | ● Active | CMS + PDAC |
| 00404-9965-99 | Vancomycin Hydrochloride 500 mg/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Henry | 1 VIAL in 1 BAG (0404-9965-99) / 1 INJECT... | 500 mg/1 | 50 | $1.65 | — | ● Active | CMS ASP |
| 00409-1319-01 | Vancomycin Hydrochloride 500 mg/5mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 500 mg/5mL | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 00409-3515-01 | Vancomycin Hydrochloride 1.5 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 10 VIAL in 1 TRAY (0409-3515-01) / 1 INJE... | 1.5 g/1 | 1,500 | $49.50 | — | ● Active | CMS + PDAC |
| 00409-5017-01 | Vancomycin Hydrochloride 500 mg/5mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 500 mg/5mL | 1,000 | $33.00 | — | Obsolete | CMS + PDAC |
| 00409-6509-01 | Vancomycin Hydrochloride 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 500 mg/10mL | 500 | $16.50 | — | ● Active | CMS + PDAC |
| 00409-6509-49 | Vancomycin Hydrochloride 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 500 mg/10mL | 500 | $16.50 | — | ● Active | CMS + PDAC |
| 00409-6531-01 | Vancomycin HCl | Pfizer | — | — | 750 | $24.75 | — | — | CMS ASP |
| 00409-6531-02 | Vancomycin Hydrochloride 750 mg/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 10 VIAL in 1 TRAY (0409-6531-02) / 1 INJE... | 750 mg/1 | 750 | $24.75 | — | ● Active | CMS ASP |
| 00409-6533-21 | Vancomycin Hydrochloride 1 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 10 VIAL in 1 CARTON (0409-6533-21) / 1 IN... | 1 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 00409-6533-31 | Vancomycin Hydrochloride 1 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Hospira, | 10 VIAL in 1 CARTON (0409-6533-31) / 1 IN... | 1 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 00409-6534-01 | Vancomycin HCl | Pfizer | — | — | 500 | $16.50 | — | — | CMS + PDAC |
| 00409-6535-01 | Vancomycin HCl | Pfizer | — | — | 1,000 | $33.00 | — | — | CMS + PDAC |
| 16714-0309-10 | Vancomycin HCl | Northstar | — | — | 1,000 | $33.00 | — | — | CMS + PDAC |
| 25021-0151-20 | Vancomycin Hydrochloride 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sagent | 10 VIAL in 1 CARTON (25021-151-20) / 20 m... | 1 g/20mL | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 25021-0157-99 | Vancomycin 5 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sagent | 1 BOTTLE in 1 CARTON (25021-157-99) / 100... | 5 g/100mL | 500 | $16.50 | — | ● Active | CMS ASP |
| 25021-0158-99 | Vancomycin 10 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sagent | 1 BOTTLE in 1 CARTON (25021-158-99) / 100... | 10 g/100mL | 1,000 | $33.00 | — | ● Active | CMS ASP |
| 63323-0203-20 | Vancomycin Hydrochloride 750 mg/15mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 10 VIAL in 1 TRAY (63323-203-20) / 15 mL... | 750 mg/15mL | 750 | $24.75 | — | ● Active | CMS + PDAC |
| 63323-0203-26 | Vancomycin Hydrochloride 750 mg/15mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 10 VIAL in 1 TRAY (63323-203-26) / 15 mL... | 750 mg/15mL | 750 | $24.75 | — | ● Active | CMS + PDAC |
| 63323-0221-10 | VANCOMYCIN HYDROCHLORIDE 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 25 VIAL in 1 TRAY (63323-221-10) / 10 mL... | 500 mg/10mL | 1,250 | $41.25 | — | ● Active | CMS + PDAC |
| 63323-0221-16 | VANCOMYCIN HYDROCHLORIDE 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 25 VIAL in 1 TRAY (63323-221-16) / 10 mL... | 500 mg/10mL | 1,250 | $41.25 | — | ● Active | CMS ASP |
| 63323-0284-20 | VANCOMYCIN HYDROCHLORIDE 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 10 VIAL in 1 TRAY (63323-284-20) / 20 mL... | 1 g/20mL | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 63323-0284-26 | VANCOMYCIN HYDROCHLORIDE 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 10 VIAL in 1 TRAY (63323-284-26) / 20 mL... | 1 g/20mL | 1,000 | $33.00 | — | ● Active | CMS ASP |
| 63323-0295-61 | Vancomycin Hydrochloride 5 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 1 BOTTLE in 1 CARTON (63323-295-61) / 100... | 5 g/100mL | 500 | $16.50 | — | ● Active | CMS + PDAC |
| 63323-0295-66 | Vancomycin Hydrochloride 5 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 1 BOTTLE in 1 CARTON (63323-295-66) / 100... | 5 g/100mL | 500 | $16.50 | — | ● Active | CMS ASP |
| 63323-0314-61 | Vancomycin Hydrochloride 10 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 1 BOTTLE in 1 CARTON (63323-314-61) / 100... | 10 g/100mL | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 63323-0314-66 | Vancomycin Hydrochloride 10 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 1 BOTTLE in 1 CARTON (63323-314-66) / 100... | 10 g/100mL | 1,000 | $33.00 | — | ● Active | CMS ASP |
| 67457-0340-01 | Vancomycin Hydrochloride 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Mylan | 10 VIAL in 1 CARTON (67457-340-01) / 20 m... | 1 g/20mL | 1,000 | $33.00 | — | ● Active | CMS ASP |
| 67457-0341-05 | vancomycin hydrochloride 5 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Mylan | 1 VIAL in 1 CARTON (67457-341-05) / 100 m... | 5 g/100mL | 500 | $16.50 | — | ● Active | CMS ASP |
| 67457-0342-10 | Vancomycin Hydrochloride 10 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Mylan | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 10 g/100mL | 1,000 | $33.00 | — | ● Active | CMS ASP |
| 68001-0407-75 | Vancomycin Hydrochloride 10 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | BluePoint | 1 VIAL, GLASS in 1 CARTON (68001-407-75)... | 10 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 70436-0021-82 | VANCOMYCIN HYDROCHLORIDE 1 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Slate | 10 VIAL in 1 CARTON (70436-021-82) / 1 IN... | 1 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 70436-0022-82 | VANCOMYCIN HYDROCHLORIDE 5 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Slate | 1 VIAL in 1 CARTON (70436-022-82) / 1 INJ... | 5 g/1 | 500 | $16.50 | — | ● Active | CMS + PDAC |
| 70436-0023-82 | VANCOMYCIN HYDROCHLORIDE 10 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Slate | 1 VIAL in 1 CARTON (70436-023-82) / 1 INJ... | 10 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 70594-0045-02 | Vancomycin HCl | Xellia | — | — | 500 | $16.50 | — | — | CMS + PDAC |
| 70594-0046-02 | Vancomycin HCl | Xellia | — | — | 1,000 | $33.00 | — | — | CMS + PDAC |
| 70594-0047-01 | Vancomycin HCl | Xellia | — | — | 500 | $16.50 | — | — | CMS + PDAC |
| 70594-0048-01 | Vancomycin HCl | Xellia | — | — | 1,000 | $33.00 | — | — | CMS + PDAC |
| 70594-0123-02 | Vancomycin Hydrochloride 1 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Xellia | 10 VIAL, GLASS in 1 CARTON (70594-123-02)... | 1 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 70860-0104-10 | Vancomycin HCl | Athenex | — | — | 500 | $16.50 | — | — | CMS ASP |
| 70860-0105-20 | Vancomycin HCl | Athenex | — | — | 1,000 | $33.00 | — | — | CMS ASP |
| 71288-0023-21 | Vancomycin Hydrochloride 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Meitheal | 10 VIAL, SINGLE-DOSE in 1 CARTON (71288-02... | 1 g/20mL | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 71288-0024-21 | Vancomycin hydrochloride 750 mg/15mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Meitheal | 10 VIAL, SINGLE-DOSE in 1 CARTON (71288-02... | 750 mg/15mL | 750 | $24.75 | — | ● Active | CMS + PDAC |
| 71288-0025-75 | Vancomycin Hydrochloride 5 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Meitheal | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 5 g/100mL | 500 | $16.50 | — | ● Active | CMS + PDAC |
| 71288-0026-75 | Vancomycin Hydrochloride 10 g/95mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Meitheal | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 10 g/95mL | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 72572-0029-10 | Vancomycin Hydrochloride 1 g/1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Civica, | 10 VIAL, SINGLE-DOSE in 1 CARTON (72572-02... | 1 g/1 | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 72572-0105-01 | Vancomycin Hydrochloride 500 mg/10mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Civica, | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 500 mg/10mL | 500 | $16.50 | — | ● Active | CMS + PDAC |
| 72572-0207-01 | Vancomycin Hydrochloride 500 mg/5mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Civica, | 1 VIAL, PHARMACY BULK PACKAGE in 1 CARTON... | 500 mg/5mL | 1,000 | $33.00 | — | ● Active | CMS + PDAC |
| 72572-0801-02 | Vancomycin HCl | Civica, | — | — | 1,000 | $33.00 | — | — | CMS + PDAC |
| 72572-0803-01 | Vancomycin HCl | Civica, | — | — | 500 | $16.50 | — | — | CMS + PDAC |
| 72572-0805-01 | Vancomycin HCl | Civica, | — | — | 1,000 | $33.00 | — | — | CMS + PDAC |
| 63323-0284-21 | VANCOMYCIN HYDROCHLORIDE 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 10 VIAL in 1 TRAY (63323-284-21) / 20 mL... | 1 g/20mL | 100 | $3.30 | — | ● Active | PDAC |
| 63323-0314-68 | Vancomycin Hydrochloride 10 g/100mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Fresenius | 1 BOTTLE in 1 CARTON (63323-314-68) / 100... | 10 g/100mL | 1,000 | $33.00 | — | ● Active | PDAC |
| 55150-0204-20 | Vancomycin Hydrochloride 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Eugia | 10 VIAL in 1 CARTON (55150-204-20) / 20 m... | 1 g/20mL | 100 | $3.30 | — | ● Active | PDAC |
| 31722-0211-33 | VANCOMYCIN HCL SDV,LYOPHILIZED 1 GM | Unknown | — | — | 100 | $3.30 | — | — | PDAC |
| 25021-0147-20 | Vancomycin Hydrochloride 750 mg/15mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Sagent | 10 VIAL in 1 CARTON (25021-147-20) / 15 m... | 750 mg/15mL | 75 | $2.48 | — | ● Active | PDAC |
| 31722-0211-10 | VANCOMYCIN HYDROCHLORIDE 1 g/20mL INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION | Camber | 10 VIAL in 1 CARTON (31722-211-10) / 20 m... | 1 g/20mL | 100 | $3.30 | — | ● Active | PDAC |
| 16714-0517-01 | VANCOMYCIN HCL PHARMACY BULK PKG,LYOPHILIZED 5 GM | Unknown | — | — | 500 | $16.50 | — | — | PDAC |
| 00143-9161-10 | VANCOMYCIN HYDROCHLORIDE 513 mg/mg INJECTION, POWDER, FOR SOLUTION | HIKMA | 10 VIAL in 1 PACKAGE (0143-9161-10) / 513... | 513 mg/mg | 50 | $1.65 | — | ● Active | PDAC |
| 00143-9162-10 | VANCOMYCIN HYDROCHLORIDE 1025 mg/mg INJECTION, POWDER, FOR SOLUTION | HIKMA | 10 VIAL in 1 PACKAGE (0143-9162-10) / 102... | 1025 mg/mg | 100 | $3.30 | — | ● Active | PDAC |
| 00143-9161-25 | VANCOMYCIN HYDROCHLORIDE 513 mg/mg INJECTION, POWDER, FOR SOLUTION | HIKMA | 25 VIAL in 1 PACKAGE (0143-9161-25) / 513... | 513 mg/mg | 50 | $1.65 | — | ● Active | PDAC |
📊 Medicare utilization & spend CMS · PART B · 2026 (Q1)
Full breakdown by period (2)
| Period | Total spend | Beneficiaries | Claims | $/beneficiary | $/claim |
|---|---|---|---|---|---|
| 2026 (Q1) | $16K | 1,131 | 2,740 | $14.18 | $5.85 |
| 2025 (Q1-Q4) | $61.7K | 2,309 | 6,449 | $26.74 | $9.57 |
📈 Medicare Part B claims detail CMS PSPS · 2024
📊 What bills under J3373
J-codes are billing codes often used for drugs billed under the medical benefit. This connects the billing code to the NDC package records it covers, by ingredient and labeler.
🗃️ Data sources & freshness
⚠️ Practical billing caveats
- A crosswalk is not coverage. An NDC mapping or a published payment limit does not guarantee a payer will cover or pay this code. Check the specific plan's policy.
- Units ≠ milligrams. Bill the number of HCPCS units (dose ÷ the code's unit size), not the milligram dose. Use the calculator above.
- Discarded drug. For single-dose vials, drug discarded after administration may be separately billable with modifier JW (and JZ when nothing is discarded) where the payer allows.
- Rounding & partial units. Many payers require whole units; round per the payer's policy, not automatically up.
- The code can cover more than this drug. Some HCPCS codes span multiple products or strengths — confirm the exact code for the product administered.
- Figures lag. ASP limits change quarterly and utilization data are released with a delay. Verify against the current CMS files before billing.