| 01 | California Department of Health Care Services0 awards | $117.3B | $112.5B | same |
| 02 | NYS Department of Health0 awards | $73.4B | $75B | same |
| 03 | Health & Human SVC Commn TX0 awards | $39.1B | $33B | same |
| 04 | PA Department of Human Services0 awards | $35.4B | $31.9B | same |
| 05 | Ohio Department of Medicaid0 awards | $29B | $27.7B | same |
| 06 | North Carolina Department of Health & Human Services0 awards | $28.9B | $27.7B | same |
| 07 | Florida Agency for Health Care Administration0 awards | $27.9B | $22.8B | same |
| 08 | Illinois Department of Healthcare & Family Services0 awards | $25.5B | $21.9B | same |
| 09 | Michigan Department of Health and Human Services0 awards | $24.3B | $20.9B | same |
| 10 | Department of Social & Health Services0 awards | $20.9B | $13.7B | ▲ 8 |
| 11 | New Jersey Department of Human Services0 awards | $20.2B | $18.1B | ▼ 1 |
| 12 | Health Services Kentucky Cabinet for0 awards | $19B | $16.8B | same |
| 13 | Arizona Health Care Cost Containment System0 awards | $18.9B | $16.4B | ▲ 2 |
| 14 | The Commonwealth of Massachusetts0 awards | $17B | $16.8B | ▼ 1 |
| 15 | VA Department of Medical Assistance Service0 awards | $16.8B | $17.2B | ▼ 4 |
| 16 | Oregon Health Authority-Public Health0 awards | $15.9B | $13.8B | ▲ 1 |
| 17 | Georgia Department of Community Health0 awards | $14.9B | $13B | ▲ 2 |
| 18 | Department of Social Services Misso0 awards | $14.9B | $12.9B | ▲ 3 |
| 19 | Indiana Family and Social Serv0 awards | $14.7B | $16.5B | ▼ 5 |
| 20 | Lousiana Department of Health0 awards | $14.6B | $14.6B | ▼ 4 |
| 21 | Minnesota Department of Human Services0 awards | $14B | $13B | ▼ 1 |
| 22 | Maryland Department of Health0 awards | $13.1B | — | — |
| 23 | Finance & Administration Tennessee Depar0 awards | $12.2B | $11.9B | ▼ 1 |
| 24 | State of Colorado - Dept of Health Care Policy & Financing0 awards | $11.7B | $10B | ▼ 1 |
| 25 | State of Wisconsin Department of Health Services0 awards | $10.6B | $9.5B | ▼ 1 |
| 26 | New Mexico Health Care Authority0 awards | $9.7B | $8.6B | ▼ 1 |
| 27 | Oklahoma Health Care Authority0 awards | $8.9B | $7.9B | same |
| 28 | Department of Health Human Services0 awards | $8.5B | $7.9B | ▼ 2 |
| 29 | Department of Social Services California0 awards | $8.2B | $6.7B | ▲ 2 |
| 30 | Department of Social Services Connecticut0 awards | $7.7B | $7.7B | ▼ 2 |
| 31 | Arkansas Department of Human Services0 awards | $7.1B | $7.2B | ▼ 1 |
| 32 | Alabama Medicaid Agency0 awards | $6.9B | $6.6B | same |
| 33 | IA Department of Human Services0 awards | $6.8B | $7.4B | ▼ 4 |
| 34 | Mississippi Division of Medicaid0 awards | $6.3B | $6B | same |
| 35 | Nevada Department of Human Services0 awards | $6B | $6.1B | ▼ 2 |
| 36 | West Virginia Department of Health and Human Resources0 awards | $5.5B | $4.7B | ▼ 1 |
| 37 | Kansas Department of Health & Environment0 awards | $5.2B | $4.3B | ▼ 1 |
| 38 | Maine Department of Health and Human Services0 awards | $4.4B | $3.9B | ▼ 1 |
| 39 | Puerto Rico Department of Health0 awards | $4.1B | $3.4B | ▲ 3 |
| 40 | Nebraska Department of Health & Human Services0 awards | $4.1B | $3.8B | ▼ 2 |
| 41 | Utah Department of Health and Human Services0 awards | $3.8B | $3.7B | ▼ 2 |
| 42 | Government of District of Columbia0 awards | $3.5B | $3.6B | ▼ 1 |
| 43 | Idaho Department of Health & Welfare0 awards | $3.5B | $3.6B | ▼ 3 |
| 44 | New York State Office of Temporary & Disability Assistance0 awards | $3.4B | $3.3B | ▼ 1 |
| 45 | State of Alaska Department of Health0 awards | $3.3B | $2.7B | ▲ 1 |
| 46 | State of Rhode Island Department of Administration0 awards | $3.1B | $2.7B | ▼ 1 |
| 47 | Department of Human Services Hawaii0 awards | $2.7B | $2.3B | same |
| 48 | Delaware Dept of Health and Social Services0 awards | $2.7B | $2.3B | ▲ 1 |
| 49 | State of Montana Department of Health and Human Services0 awards | $2.6B | $2.3B | ▼ 1 |
| 50 | New Hampshire Department of Health & Human Services0 awards | $2.3B | $2B | same |
| 51 | Merck Sharp & Dohme LLC0 awards | $2.3B | $2.9B | ▼ 7 |
| 52 | Human Services Vermont Agency of0 awards | $2.1B | $1.7B | ▼ 1 |
| 53 | North Dakota Department of Human Services0 awards | $1.6B | $1.2B | same |
| 54 | New York Office of Children & Family Services0 awards | $1.6B | $1.2B | ▲ 1 |
| 55 | Florida Department of Children and Families0 awards | $1.6B | $1.2B | ▼ 1 |
| 56 | Social Services South Dakota Department0 awards | $1.4B | $1.4B | ▼ 4 |
| 57 | Texas Workforce Commission0 awards | $1.3B | $1.2B | ▼ 1 |
| 58 | Illinois Department of Human Service0 awards | $1.2B | $1.2B | ▼ 1 |
| 59 | Ohio Department of Job & Family Services0 awards | $1.2B | $967.4M | ▲ 2 |
| 60 | Ohio Department of Children and Youth0 awards | $1.2B | $827.4M | ▲ 6 |
| 61 | Pfizer Inc0 awards | $1.1B | $698.7M | ▲ 13 |
| 62 | Glaxosmithkline, LLC0 awards | $1.1B | $979.7M | ▼ 2 |
| 63 | General Dynamics Corporation0 awards | $999.6M | $839.3M | ▲ 2 |
| 64 | Leidos, Inc.0 awards | $994.8M | $793.6M | ▲ 3 |
| 65 | The Johns Hopkins University0 awards | $937.2M | $900.9M | ▼ 2 |
| 66 | Department of Insurance of the State of Georgia0 awards | $910.7M | $1B | ▼ 7 |
| 67 | Regents of the University of California, San Francisco, the0 awards | $894.4M | $871.5M | ▼ 3 |
| 68 | Minnesota Department of Children, Youth, and Families0 awards | $886.7M | — | — |
| 69 | State of Wisconsin Dept of Children & Families0 awards | $845.5M | $722M | ▲ 4 |
| 70 | California Department of Child Support Services0 awards | $821.9M | $735.8M | ▼ 1 |
| 71 | Regents of the University of Michigan0 awards | $787.5M | $767.6M | ▼ 3 |
| 72 | Maximus Federal Services, Inc.0 awards | $763.8M | $949.7M | ▼ 10 |
| 73 | Department of Human Services0 awards | $762.4M | $628.5M | ▲ 9 |
| 74 | Trustees of the University of Pennsylvania, the0 awards | $760.2M | $735.6M | ▼ 4 |
| 75 | The Leland Stanford Junior University0 awards | $758.8M | $692.8M | same |
| 76 | Sanofi Vaccines US Inc.0 awards | $755.2M | $1.1B | ▼ 18 |
| 77 | Florida Department of Education0 awards | $746.4M | $615.4M | ▲ 7 |
| 78 | Department of Health Wyoming0 awards | $742.4M | $528.4M | ▲ 19 |
| 79 | Washington University, the0 awards | $731.8M | $732.7M | ▼ 8 |
| 80 | The Trustees of Columbia University in the City of New York0 awards | $718.5M | $722.5M | ▼ 8 |
| 81 | University of Pittsburgh - of the Commonwealth System of Higher Education0 awards | $699.8M | $691.7M | ▼ 5 |
| 82 | Yale Univ0 awards | $696.3M | $688.8M | ▼ 5 |
| 83 | Arizona Department of Economic Security0 awards | $687.9M | $644.3M | ▼ 3 |
| 84 | Oklahoma Dept of Human Services0 awards | $684M | $580M | ▲ 3 |
| 85 | Department of Children, Youth, and Families0 awards | $675.6M | $463M | ▲ 20 |
| 86 | New Jersey Department of Banking and Insurance0 awards | $669.1M | $554.5M | ▲ 6 |
| 87 | The General Hospital Corporation0 awards | $663.8M | $664.8M | ▼ 8 |
| 88 | Virginia Department of Social Services0 awards | $639.4M | $510.5M | ▲ 11 |
| 89 | Tennessee Department of Human Services0 awards | $638.8M | $563.9M | ▲ 1 |
| 90 | Department of Human Services Colorado0 awards | $633.6M | $508.3M | ▲ 10 |
| 91 | University of North Carolina at Chapel Hill0 awards | $630.3M | $554.3M | ▲ 2 |
| 92 | Maryland Department of Human Services0 awards | $609.5M | $606.9M | ▼ 7 |
| 93 | Cherokee Nation0 awards | $602.9M | $386M | ▲ 22 |
| 94 | Duke University0 awards | $586.6M | $638.5M | ▼ 13 |
| 95 | Deloitte LLP0 awards | $582.2M | $485.8M | ▲ 8 |
| 96 | Icahn School of Medicine at Mount Sinai0 awards | $581.8M | $578.6M | ▼ 8 |
| 97 | Oregon Department of Human Services0 awards | $575.7M | $233.7M | ▲ 68 |
| 98 | Emory University0 awards | $571.9M | $616M | ▼ 15 |
| 99 | New York University0 awards | $566.2M | $528.7M | ▼ 3 |
| 100 | Department of Human Resources Alabama0 awards | $561M | $479.8M | ▲ 4 |
