Total Medicaid reimbursements for services specifically linked to COVID-19 through HCPCS codes in Lewes amounted to at least $34,033 in 2024, based on records maintained by the U.S. Department of Health and Human Services Medicaid Provider Spending database.
Medicaid, a health insurance program administered by states with funding from both federal and state governments, covers low-income people, older adults, children, and individuals with disabilities. This makes it one of the nation’s major health care programs. More on Medicaid funding is available here: jointly by federal and state governments.
Because Medicaid is publicly funded, fluctuations in local billing tell how community resources for health care are spent.
This review identified COVID-19–related service payments based on HCPCS codes that include “COVID-19” or “coronavirus” in service descriptions or identified references. The reported figures solely reflect services labeled as COVID-related in billing records and exclude less clearly marked pandemic responses that appeared under other code categories.
Lewes reported the state’s highest total of Medicaid funds associated with COVID-19 HCPCS codes in 2024.
Providers in Lewes submitted three Medicaid claims classified under COVID-19-related services in 2024, with COVID Specific being the most billed code, totaling $32,929.
The average Medicaid payout for COVID-related services for each Lewes provider stood at $11,344—greater than the state average payment of $5,381 per provider.
Throughout pandemic years, Medicaid expenditures tied to COVID-19 service claims contributed notably to overall spending growth in the area.
In the two years immediately before the pandemic, Lewes had average Medicaid payments amounting to $6,216,145 annually.
Data from the Centers for Medicare & Medicaid Services shows that Medicaid spending at the state and federal level was roughly $871.7 billion in the 2023 fiscal year, representing around 18% of total U.S. health care expenditures—an increase from $613.5 billion in 2019, before the onset of COVID-19.
This growth marks a nearly 40% rise over several years, primarily caused by broadening enrollment and higher service use during and after the pandemic period.
Recent federal budget measures adopted during the Trump administration include major suggestions to decrease federal Medicaid funding and overhaul its structure. Among them, the “One Big Beautiful Bill Act,” enacted in 2025, is expected to reduce federal Medicaid outlays by more than $1 trillion over the next 10 years. The law brings work requirements and greater cost-sharing, likely curtailing access and funding for certain beneficiaries. These shifts may move additional financial liability to states while slowing federal Medicaid growth, though the program continues to cover tens of millions nationally.
| Year | COVID-19–Related Payments | COVID-19 Payments % Change (YoY) | Total Medicaid Payments |
|---|---|---|---|
| 2024 | $34,033 | -68.6% | $10,508,169 |
| 2023 | $108,555 | -72.7% | $16,374,251 |
| 2022 | $398,206 | -6.9% | $16,283,479 |
| 2021 | $427,920 | 150.6% | $13,145,383 |
| 2020 | $170,780 | N/A | $14,770,430 |
| 2019 | $0 | N/A | $8,641,371 |
| 2018 | $0 | N/A | $3,790,919 |
| HCPCS Code | Description | Medicaid Payments | Claims |
|---|---|---|---|
| 87635 | COVID Specific | $30,715 | 577 |
| U0002 | COVID Specific | $2,214 | 35 |
| 90480 | COVID-19 Vaccine Administration | $1,104 | 155 |
Note: Only includes HCPCS codes explicitly designated for COVID-19; these amounts do not represent all health care spending tied to the pandemic.
This article’s information is sourced from the U.S. Department of Health and Human Services Medicaid Provider Spending database. Source data is available here.

