Technically "good" would imply something a little better than "Okay," but it's a very fine line of difference. You would get more information from paying attention to tone of voice or facial expression. The words (in normal conversation) are practically equal.
An example of tone of voice, etc. A person could say "I feel great," but say the word "great" with a sarcastic voice, meaning "not great at all," or they could roll their eyes when they say it, to imply the opposite of what they say.