| 01 | California Department of Health Care Services0 awards | $92.8B | $80.6B | +15% | same |
| 02 | NYS Department of Health0 awards | $58.3B | $46.4B | +26% | same |
| 03 | Health & Human SVC Commn TX0 awards | $40.6B | $37B | +10% | same |
| 04 | UnitedHealth Group0 awards | $37.5B | $30B | +25% | same |
| 05 | PA Department of Human Services0 awards | $31.3B | $29.2B | +7% | same |
| 06 | Ohio Department of Medicaid0 awards | $25B | — | — | — |
| 07 | Florida Agency for Health Care Administration0 awards | $24.9B | $19.5B | +28% | ▲ 1 |
| 08 | Michigan Department of Health and Human Services0 awards | $19.3B | $19.8B | −3% | ▼ 1 |
| 09 | Illinois Department of Healthcare & Family Services0 awards | $18B | $18.1B | −1% | ▲ 1 |
| 10 | Arizona Health Care Cost Containment System0 awards | $18B | $14.9B | +21% | ▲ 3 |
| 11 | New Jersey Department of Human Services0 awards | $16.9B | $15.4B | +10% | ▲ 1 |
| 12 | North Carolina Department of Health & Human Services0 awards | $16.1B | $19.4B | −17% | ▼ 3 |
| 13 | The Commonwealth of Massachusetts0 awards | $15.2B | $13.7B | +11% | ▲ 1 |
| 14 | Department of Social & Health Services0 awards | $14.5B | $12.3B | +17% | ▲ 3 |
| 15 | Indiana Family and Social Serv0 awards | $13.8B | $12.6B | +10% | ▲ 1 |
| 16 | Health Services Kentucky Cabinet for0 awards | $13B | $15.6B | −16% | ▼ 5 |
| 17 | VA Department of Medical Assistance Service0 awards | $12.4B | $11.1B | +12% | ▲ 1 |
| 18 | Minnesota Department of Human Services0 awards | $12.4B | $10.7B | +16% | ▲ 2 |
| 19 | Georgia Department of Community Health0 awards | $11.7B | $9.5B | +23% | ▲ 4 |
| 20 | Department of Social Services Misso0 awards | $11.7B | $10.1B | +15% | ▲ 1 |
| 21 | Lousiana Department of Health0 awards | $11.4B | $12.6B | −9% | ▼ 6 |
| 22 | Oregon Health Authority-Public Health0 awards | $10.7B | $10.9B | −2% | ▼ 3 |
| 23 | Finance & Administration Tennessee Depar0 awards | $9.4B | $9.4B | +1% | ▲ 1 |
| 24 | State of Wisconsin Department of Health Services0 awards | $9.1B | $8.4B | +8% | ▲ 1 |
| 25 | State of Colorado - Dept of Health Care Policy & Financing0 awards | $8.7B | $7.1B | +22% | ▲ 1 |
| 26 | New Mexico Health Care Authority0 awards | $7.6B | $6.3B | +22% | ▲ 5 |
| 27 | Arkansas Department of Human Services0 awards | $7.3B | $6.3B | +17% | ▲ 3 |
| 28 | Department of Social Services California0 awards | $7.2B | $6.6B | +10% | same |
| 29 | Department of Social Services Connecticut0 awards | $7.1B | $6.4B | +11% | same |
| 30 | Oklahoma Health Care Authority0 awards | $6.6B | $4.8B | +38% | ▲ 9 |
| 31 | Department of Health Human Services0 awards | $6.5B | $5.9B | +10% | ▲ 1 |
| 32 | Alabama Medicaid Agency0 awards | $6.2B | $5.8B | +7% | ▲ 1 |
| 33 | IA Department of Human Services0 awards | $5.7B | $5.2B | +8% | ▲ 2 |
| 34 | Mississippi Division of Medicaid0 awards | $5.6B | $5B | +13% | ▲ 3 |
| 35 | West Virginia Department of Health and Human Resources0 awards | $5B | $5.2B | −3% | ▲ 1 |
| 36 | West Virginia Department of Health and Human Resources0 awards | $4.6B | $4.1B | +11% | ▲ 4 |
| 37 | Nevada Department of Health & Human Services0 awards | $4.5B | $4.8B | −6% | ▲ 1 |
| 38 | Nevada Department of Human Services0 awards | $4.4B | $3.6B | +22% | ▲ 8 |
| 39 | Utah Department of Health and Human Services0 awards | $4B | $3.6B | +13% | ▲ 6 |
| 40 | New York State Office of Temporary & Disability Assistance0 awards | $3.4B | $4B | −16% | ▲ 1 |
| 41 | Government of District of Columbia0 awards | $3.4B | $3.2B | +4% | ▲ 8 |
| 42 | Maine Department of Health and Human Services0 awards | $3.3B | $3.2B | +4% | ▲ 8 |
| 43 | Kansas Department of Health & Environment0 awards | $3.3B | $3.5B | −5% | ▲ 4 |
| 44 | Nebraska Department of Health & Human Services0 awards | $3B | $3.1B | −4% | ▲ 7 |
| 45 | Idaho Department of Health & Welfare0 awards | $2.9B | $3.3B | −13% | ▲ 3 |
| 46 | Puerto Rico Department of Health0 awards | $2.8B | $2.9B | −4% | ▲ 8 |
| 47 | State of Rhode Island Department of Administration0 awards | $2.6B | $2.2B | +15% | ▲ 13 |
| 48 | Department of Human Services Hawaii0 awards | $2.4B | $2.5B | −4% | ▲ 8 |
| 49 | State of Montana Department of Health and Human Services0 awards | $2.3B | $2.4B | −6% | ▲ 8 |
| 50 | State of Alaska Department of Health0 awards | $2.3B | $2B | +11% | ▲ 12 |
| 51 | Delaware Dept of Health and Social Services0 awards | $2.2B | $1.9B | +13% | ▲ 12 |
| 52 | Merck Sharp & Dohme LLC0 awards | $2.1B | $1.6B | +29% | ▲ 16 |
| 53 | New Hampshire Department of Health & Human Services0 awards | $2B | $2.2B | −12% | ▲ 8 |
| 54 | Rapid Deployment Inc0 awards | $1.8B | $1.3B | +41% | ▲ 26 |
| 55 | Ohio Department of Job & Family Services0 awards | $1.6B | $25.6B | −94% | ▼ 49 |
| 56 | Human Services Vermont Agency of0 awards | $1.6B | $1.7B | −6% | ▲ 11 |
| 57 | Florida Department of Children and Families0 awards | $1.4B | $1.5B | −6% | ▲ 15 |
| 58 | Family Endeavors, Inc.0 awards | $1.4B | $399.9M | +238% | ▲ 117 |
| 59 | Pfizer Inc0 awards | $1.4B | $793.2M | +70% | ▲ 53 |
| 60 | North Dakota Department of Human Services0 awards | $1.3B | $1.3B | +4% | ▲ 21 |
| 61 | Leidos, Inc.0 awards | $1.2B | $1.2B | +3% | ▲ 24 |
| 62 | Glaxosmithkline, LLC0 awards | $1.2B | $748.1M | +55% | ▲ 56 |
| 63 | Illinois Department of Human Service0 awards | $1.1B | $3B | −63% | ▼ 11 |
| 64 | New York Office of Children & Family Services0 awards | $1.1B | $3.6B | −69% | ▼ 20 |
| 65 | Social Services South Dakota Department0 awards | $1.1B | $1.1B | −2% | ▲ 28 |
| 66 | Walgreen Co.0 awards | $1B | $899.7M | +15% | ▲ 36 |
| 67 | Arizona Department of Economic Security0 awards | $941.7M | $2.4B | −61% | ▼ 9 |
| 68 | The Johns Hopkins University0 awards | $933.6M | $882M | +6% | ▲ 35 |
| 69 | Mckesson Specialty Distribution LLC0 awards | $926.1M | $1.5B | −38% | ▲ 5 |
| 70 | Hensel Phelps Construction Co.0 awards | $914.3M | $2.1M | — | ▲ 505 |
| 71 | The Trustees of Columbia University in the City of New York0 awards | $910.6M | $784.4M | +16% | ▲ 45 |
| 72 | Regents of the University of California, San Francisco, the0 awards | $896.7M | $786.4M | +14% | ▲ 43 |
| 73 | Texas Workforce Commission0 awards | $874.2M | $6.6B | −87% | ▼ 46 |
| 74 | State of Wisconsin Dept of Children & Families0 awards | $833.7M | $1.8B | −53% | ▼ 10 |
| 75 | Bcfs Health and Human Services0 awards | $798.2M | $574.1M | +39% | ▲ 70 |
| 76 | Southwest Key Programs Inc0 awards | $789.1M | $461.1M | +71% | ▲ 88 |
| 77 | General Dynamics Corporation0 awards | $755.2M | $489.2M | +54% | ▲ 79 |
| 78 | Maximus Federal Services, Inc.0 awards | $749.8M | $694M | +8% | ▲ 48 |
| 79 | University of Washington0 awards | $723.2M | $644.2M | +12% | ▲ 51 |
| 80 | Department of Human Services Colorado0 awards | $713.4M | $1.5B | −53% | ▼ 9 |
| 81 | Duke University0 awards | $705.8M | $740.1M | −5% | ▲ 39 |
| 82 | Sanofi Vaccines US Inc.0 awards | $700.6M | $739M | −5% | ▲ 39 |
| 83 | University of Pittsburgh - of the Commonwealth System of Higher Education0 awards | $696M | $616.3M | +13% | ▲ 53 |
| 84 | Regents of the University of Michigan0 awards | $690.3M | $642.3M | +7% | ▲ 47 |
| 85 | Trustees of the University of Pennsylvania, the0 awards | $675.5M | $649.7M | +4% | ▲ 43 |
| 86 | Department of Human Services0 awards | $669.4M | $793.1M | −16% | ▲ 27 |
| 87 | The Leland Stanford Junior University0 awards | $652.8M | $613.5M | +6% | ▲ 50 |
| 88 | Virginia Department of Social Services0 awards | $639.4M | $1.1B | −41% | ▲ 4 |
| 89 | Washington University, the0 awards | $637.3M | $504.3M | +26% | ▲ 63 |
| 90 | University of California, Los Angeles0 awards | $634.5M | $605.6M | +5% | ▲ 51 |
| 91 | University of North Carolina at Chapel Hill0 awards | $632.6M | $525.4M | +20% | ▲ 58 |
| 92 | The General Hospital Corporation0 awards | $624.1M | $610.2M | +2% | ▲ 48 |
| 93 | Emory University0 awards | $619.5M | $510.6M | +21% | ▲ 58 |
| 94 | Oklahoma Dept of Human Services0 awards | $614.7M | $1.4B | −57% | ▼ 17 |
| 95 | University of California, San Diego0 awards | $612.8M | — | — | — |
| 96 | Yale Univ0 awards | $610.8M | $564.6M | +8% | ▲ 50 |
| 97 | Booz Allen Hamilton Inc0 awards | $609.7M | $480.9M | +27% | ▲ 61 |
| 98 | Maryland Department of Human Services0 awards | $592.7M | $704.3M | −16% | ▲ 25 |
| 99 | Deloitte LLP0 awards | $577.1M | $634.7M | −9% | ▲ 35 |
| 100 | Research Triangle Institute0 awards | $561.9M | $266.8M | +111% | ▲ 123 |