The API is supposed to let apps do things like "route intranet/corporate app traffic over a VPN, let other traffic go through", but you can just as easily use it to drop traffic destined for certain addresses (such as ad servers), or to drop all traffic for specific apps. It's also possible to make decisions like "let this app connect to the internet on wifi but not on data".
It should be noted that system applications (phone OS, Google, sometimes carrier apps) can bind to specific network interfaces bypassing this API entirely. This means you can't use this API to 100% block internet access to preinstalled apps, even though apps will need to explicitly implement networking code to bypass such firewalls.
It should be noted that Google doesn't really like apps abusing the VPN API like this, in past because of the massive privacy risk. Google cut a bunch of these apps from Google Play, though there's not much they can do about APKs you download from F-Droid or github.