| 01 | California Department of Health Care Services0 awards | $85.1B | $92.8B | −8% | same |
| 02 | NYS Department of Health0 awards | $54.2B | $58.3B | −7% | same |
| 03 | Health & Human SVC Commn TX0 awards | $39.6B | $40.6B | −2% | same |
| 04 | PA Department of Human Services0 awards | $31.7B | $31.3B | +1% | ▲ 1 |
| 05 | Ohio Department of Medicaid0 awards | $24.6B | $25B | −2% | ▲ 1 |
| 06 | Florida Agency for Health Care Administration0 awards | $22.7B | $24.9B | −9% | ▲ 1 |
| 07 | Illinois Department of Healthcare & Family Services0 awards | $20.9B | $18B | +16% | ▲ 2 |
| 08 | Michigan Department of Health and Human Services0 awards | $19.4B | $19.3B | +1% | same |
| 09 | Arizona Health Care Cost Containment System0 awards | $19.1B | $18B | +6% | ▲ 1 |
| 10 | North Carolina Department of Health & Human Services0 awards | $17.8B | $16.1B | +10% | ▲ 2 |
| 11 | Department of Social & Health Services0 awards | $17.8B | $14.5B | +23% | ▲ 3 |
| 12 | New Jersey Department of Human Services0 awards | $16.8B | $16.9B | −1% | ▼ 1 |
| 13 | The Commonwealth of Massachusetts0 awards | $16.3B | $15.2B | +8% | same |
| 14 | Health Services Kentucky Cabinet for0 awards | $15.4B | $13B | +18% | ▲ 2 |
| 15 | VA Department of Medical Assistance Service0 awards | $14.6B | $12.4B | +18% | ▲ 2 |
| 16 | Indiana Family and Social Serv0 awards | $14.3B | $13.8B | +4% | ▼ 1 |
| 17 | Lousiana Department of Health0 awards | $14.1B | $11.4B | +23% | ▲ 4 |
| 18 | Department of Social Services Misso0 awards | $13.9B | $11.7B | +19% | ▲ 2 |
| 19 | Minnesota Department of Human Services0 awards | $13B | $12.4B | +5% | ▼ 1 |
| 20 | Maryland Department of Health0 awards | $12.3B | — | — | — |
| 21 | Georgia Department of Community Health0 awards | $12.3B | $11.7B | +4% | ▼ 2 |
| 22 | Oregon Health Authority-Public Health0 awards | $11.8B | $10.7B | +10% | same |
| 23 | Finance & Administration Tennessee Depar0 awards | $9.4B | $9.4B | 0% | same |
| 24 | State of Wisconsin Department of Health Services0 awards | $9B | $9.1B | −2% | same |
| 25 | State of Colorado - Dept of Health Care Policy & Financing0 awards | $9B | $8.7B | +3% | same |
| 26 | Arkansas Department of Human Services0 awards | $7.9B | — | — | — |
| 27 | Arkansas Department of Human Services0 awards | $7.8B | $7.3B | +7% | same |
| 28 | Department of Social Services Connecticut0 awards | $7.7B | $7.1B | +8% | ▲ 1 |
| 29 | Department of Social Services California0 awards | $7.6B | $7.2B | +5% | ▼ 1 |
| 30 | New Mexico Health Care Authority0 awards | $7.4B | $7.6B | −3% | ▼ 4 |
| 31 | Alabama Medicaid Agency0 awards | $7B | $6.2B | +14% | ▲ 1 |
| 32 | Department of Health Human Services0 awards | $7B | $6.5B | +8% | ▼ 1 |
| 33 | Mississippi Division of Medicaid0 awards | $5.7B | $5.6B | +1% | ▲ 1 |
| 34 | IA Department of Human Services0 awards | $5.5B | $5.7B | −3% | ▼ 1 |
| 35 | West Virginia Department of Health and Human Resources0 awards | $5.3B | $5B | +6% | same |
| 36 | West Virginia Department of Health and Human Resources0 awards | $4.8B | $4.6B | +5% | same |
| 37 | Nevada Department of Health & Human Services0 awards | $4.4B | $4.5B | −1% | same |
| 38 | Nevada Department of Human Services0 awards | $4.3B | $4.4B | −2% | same |
| 39 | Puerto Rico Department of Health0 awards | $4.2B | $2.8B | +51% | ▲ 7 |
| 40 | Kansas Department of Health & Environment0 awards | $3.9B | $3.3B | +17% | ▲ 3 |
| 41 | Government of District of Columbia0 awards | $3.8B | $3.4B | +11% | same |
| 42 | New York State Office of Temporary & Disability Assistance0 awards | $3.7B | $3.4B | +10% | ▼ 2 |
| 43 | Utah Department of Health and Human Services0 awards | $3.6B | $4B | −10% | ▼ 4 |
| 44 | Maine Department of Health and Human Services0 awards | $3.4B | $3.3B | +4% | ▼ 2 |
| 45 | Idaho Department of Health & Welfare0 awards | $3.4B | $2.9B | +16% | same |
| 46 | Nebraska Department of Health & Human Services0 awards | $3.2B | $3B | +6% | ▼ 2 |
| 47 | Department of Human Services Hawaii0 awards | $2.7B | $2.4B | +13% | ▲ 1 |
| 48 | Florida Department of Children and Families0 awards | $2.7B | $1.4B | +89% | ▲ 9 |
| 49 | State of Rhode Island Department of Administration0 awards | $2.6B | $2.6B | 0% | ▼ 2 |
| 50 | Delaware Dept of Health and Social Services0 awards | $2.6B | $2.2B | +19% | ▲ 1 |
| 51 | State of Montana Department of Health and Human Services0 awards | $2.4B | $2.3B | +5% | ▼ 2 |
| 52 | State of Alaska Department of Health0 awards | $2.2B | $2.3B | −2% | ▼ 2 |
| 53 | Merck Sharp & Dohme LLC0 awards | $2.1B | $2.1B | −2% | ▼ 1 |
| 54 | Ohio Department of Job & Family Services0 awards | $2B | $1.6B | +22% | ▲ 1 |
| 55 | New Hampshire Department of Health & Human Services0 awards | $1.9B | $2B | −2% | ▼ 2 |
| 56 | Advanced Technology International0 awards | $1.8B | — | — | — |
| 57 | Human Services Vermont Agency of0 awards | $1.7B | $1.6B | +10% | ▼ 1 |
| 58 | Leidos, Inc.0 awards | $1.5B | $1.2B | +20% | ▲ 3 |
| 59 | Illinois Department of Human Service0 awards | $1.4B | $1.1B | +22% | ▲ 4 |
| 60 | Pfizer Inc0 awards | $1.3B | $1.4B | −4% | ▼ 1 |
| 61 | Texas Workforce Commission0 awards | $1.3B | $874.2M | +45% | ▲ 12 |
| 62 | Arizona Department of Economic Security0 awards | $1.1B | $941.7M | +13% | ▲ 5 |
| 63 | Social Services South Dakota Department0 awards | $1B | $1.1B | −4% | ▲ 2 |
| 64 | The Johns Hopkins University0 awards | $911.2M | $933.6M | −2% | ▲ 4 |
| 65 | The Trustees of Columbia University in the City of New York0 awards | $874.6M | $910.6M | −4% | ▲ 6 |
| 66 | State of Wisconsin Dept of Children & Families0 awards | $863.3M | $833.7M | +4% | ▲ 8 |
| 67 | Regents of the University of California, San Francisco, the0 awards | $860M | $896.7M | −4% | ▲ 5 |
| 68 | Maximus Federal Services, Inc.0 awards | $851.4M | $749.8M | +14% | ▲ 10 |
| 69 | Glaxosmithkline, LLC0 awards | $850.1M | $1.2B | −27% | ▼ 7 |
| 70 | Research Triangle Institute0 awards | $826M | $561.9M | +47% | ▲ 30 |
| 71 | General Dynamics Corporation0 awards | $816M | $755.2M | +8% | ▲ 6 |
| 72 | Southwest Key Programs Inc0 awards | $770.1M | $789.1M | −2% | ▲ 4 |
| 73 | California Department of Public Health0 awards | $755.6M | $540.9M | +40% | ▲ 29 |
| 74 | Virginia Department of Social Services0 awards | $749.2M | $639.4M | +17% | ▲ 14 |
| 75 | Regents of the University of Michigan0 awards | $745.2M | $690.3M | +8% | ▲ 9 |
| 76 | Duke University0 awards | $741.6M | $705.8M | +5% | ▲ 5 |
| 77 | Trustees of the University of Pennsylvania, the0 awards | $716.4M | $675.5M | +6% | ▲ 8 |
| 78 | Oklahoma Dept of Human Services0 awards | $712.1M | $614.7M | +16% | ▲ 16 |
| 79 | The General Hospital Corporation0 awards | $696.7M | $624.1M | +12% | ▲ 13 |
| 80 | The Leland Stanford Junior University0 awards | $694.4M | $652.8M | +6% | ▲ 7 |
| 81 | University of Pittsburgh - of the Commonwealth System of Higher Education0 awards | $692.4M | $696M | −1% | ▲ 2 |
| 82 | Florida Department of Education0 awards | $681.2M | $482.3M | +41% | ▲ 27 |
| 83 | Department of Human Services Colorado0 awards | $676.4M | $713.4M | −5% | ▼ 3 |
| 84 | Maryland Department of Human Services0 awards | $671.1M | $592.7M | +13% | ▲ 14 |
| 85 | Department of Human Services0 awards | $666.3M | $669.4M | 0% | ▲ 1 |
| 86 | University of Washington0 awards | $660.8M | $723.2M | −9% | ▼ 7 |
| 87 | Deloitte LLP0 awards | $655.9M | $577.1M | +14% | ▲ 12 |
| 88 | Washington University, the0 awards | $651.7M | $637.3M | +2% | ▲ 1 |
| 89 | Emory University0 awards | $647.2M | $619.5M | +4% | ▲ 4 |
| 90 | Yale Univ0 awards | $635.8M | $610.8M | +4% | ▲ 6 |
| 91 | University of California, Los Angeles0 awards | $620.2M | $634.5M | −2% | ▼ 1 |
| 92 | Tennessee Department of Human Services0 awards | $618.3M | $357.4M | +73% | ▲ 37 |
| 93 | University of North Carolina at Chapel Hill0 awards | $613.4M | $632.6M | −3% | ▼ 2 |
| 94 | University of California, San Diego0 awards | $592.8M | $612.8M | −3% | ▲ 1 |
| 95 | Rapid Deployment Inc0 awards | $588.8M | $1.8B | −67% | ▼ 41 |
| 96 | Sanofi Vaccines US Inc.0 awards | $560.3M | $700.6M | −20% | ▼ 14 |
| 97 | Icahn School of Medicine at Mount Sinai0 awards | $551.8M | $499.3M | +11% | ▲ 9 |
| 98 | Department of Health Wyoming0 awards | $548.6M | $513.2M | +7% | ▲ 6 |
| 99 | Booz Allen Hamilton Inc0 awards | $533.8M | $609.7M | −12% | ▼ 2 |
| 100 | New York University0 awards | $531.2M | $476.4M | +11% | ▲ 10 |