In 2024, Medicaid payments for services using HCPCS codes specifically associated with COVID-19 totaled at least $133,455 in Boaz, based on data from the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a state-operated public health insurance program funded in partnership by federal and state governments, covers low-income people, families, seniors, children, and those with disabilities. It is one of the largest components of the U.S. health care system.
Given that Medicaid funding is taxpayer-based, fluctuations in local billing reflect how public healthcare funds are distributed across communities.
For this report, COVID-19–related services were pinpointed through HCPCS codes designated as “COVID-19” or “coronavirus”-related in billing or reference descriptions. Therefore, the analysis only includes services directly labeled as COVID-19 in billing and does not account for pandemic-related care billed under more general or differently categorized codes.
To compare, Birmingham saw the state’s highest Medicaid payments linked to COVID-19 services in 2024 at $1,029,178 in such claims.
In Boaz, 3 providers filed Medicaid claims for COVID-19–related services in 2024. The most frequently billed code was COVID Specific, representing $119,181 of the total.
Boaz’s average Medicaid payment per provider for COVID-19–associated services reached $44,485, surpassing the state average of $35,056.
COVID-19–specific services made up a significant portion of Medicaid spending increases in Boaz during the pandemic years.
According to the Centers for Medicare & Medicaid Services, combined federal and state Medicaid expenditures were approximately $871.7 billion in fiscal year 2023, or about 18% of total national health expenses, a sharp rise from $613.5 billion in 2019, before COVID-19 began.
This jump amounts to about a 40% increase over several years, driven mostly by increased enrollment and demand during and following the pandemic period.
Recent federal budget actions during the Trump administration have featured major proposals to trim federal Medicaid funding and alter the program. The “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid spending by over $1 trillion in the next decade. It contains new work requirements and cost-sharing provisions that could affect coverage levels and funding for some enrollees. These changes may shift added costs to states and constrain future federal support, though Medicaid will continue serving millions nationwide.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $133,455 | -15.1% | $6,197,330 |
| 2023 | $157,268 | 53.4% | $7,241,121 |
| 2022 | $102,533 | 91.9% | $6,815,499 |
| 2021 | $53,421 | N/A | $6,381,331 |
| 2020 | $0 | N/A | $4,700,346 |
| 2019 | $0 | N/A | $5,960,196 |
| 2018 | $0 | N/A | $5,451,694 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| U0002 | COVID Specific | $119,181 | 3,164 |
| 87811 | Immunoassay | $14,273 | 625 |
Note: Includes HCPCS codes explicitly labeled for COVID-19 services; totals do not represent all pandemic-related health care spending.
The information for this article was sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. You can locate the source data here.


