At least $33,108 in Medicaid payments were recorded in Lilburn in 2024 for services billed under HCPCS codes specifically tied to COVID-19, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a public health insurance initiative run by each state and funded through a federal-state partnership, provides coverage for low-income individuals, elderly adults, children, and people with disabilities and represents a substantial component of the nation’s health system.
Because the Medicaid program is funded by taxpayers, local Medicaid billing levels highlight how health care dollars are distributed within a community.
For this analysis, services considered related to COVID-19 were identified using HCPCS codes labeled or referenced as “COVID-19” or “coronavirus”-specific in the billing or reference data. As a result, the totals include only services explicitly coded as COVID-related and exclude care for the pandemic that may have been billed under more general or different codes.
Dalton reported the highest amount of Medicaid payments linked to COVID-19 care in Georgia for 2024, reporting $147,318 in relevant claims.
To provide context, Medicaid providers in Lilburn saw an average COVID-19–related payment per provider of $16,554, which falls below the overall Georgia state average of $17,922.
COVID-19–specific services comprised a noticeable portion of Lilburn’s Medicaid spending growth during the pandemic.
In the two years before the start of the pandemic, Lilburn’s average annual Medicaid payments were $611,627.
The Centers for Medicare & Medicaid Services reports that combined state and federal Medicaid expenditures hit approximately $871.7 billion in fiscal year 2023—about 18% of total national health spending—up sharply from $613.5 billion in 2019, prior to the COVID-19 pandemic.
This growth—nearly 40%—reflects expanded enrollment as well as high utilization during and after the pandemic phase.
Major federal budget bills under the Trump administration have proposed deep reductions and restructuring of Medicaid funding. One example is the “One Big Beautiful Bill Act,” signed in 2025, which is projected to eliminate over $1 trillion from federal Medicaid expenditures over a decade, imposing changes such as work requirements and cost-sharing. These adjustments could limit Medicaid coverage and financing for certain recipients, shift greater costs to states, and constrain future federal spending, even as the program continues to help tens of millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $33,108 | -21.8% | $514,366 |
| 2023 | $42,345 | -18.3% | $1,004,583 |
| 2022 | $51,822 | 184.7% | $1,561,081 |
| 2021 | $18,203 | N/A | $1,078,038 |
| 2020 | $0 | N/A | $458,738 |
| 2019 | $0 | N/A | $525,177 |
| 2018 | $0 | N/A | $698,077 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87811 | Immunoassay | $33,108 | 810 |
Note: Includes only HCPCS codes explicitly designated for COVID-19 services; figures do not reflect all care related to the pandemic.
The information in this article comes from the U.S. Department of Health and Human Services Medicaid Provider Spending database. The underlying dataset is available here.



