| 1 | California373 recipients | $496.3B | California Department of Health Care Services |
| 2 | Texas296 recipients | $347.9B | Health & Human SVC Commn TX |
| 3 | Florida231 recipients | $336.9B | Florida Agency for Health Care Administration |
| 4 | Pennsylvania144 recipients | $293.3B | PA Department of Human Services |
| 5 | New York150 recipients | $270.2B | NYS Department of Health |
| 6 | Minnesota39 recipients | $245.5B | Minnesota Department of Human Services |
| 7 | Virginia329 recipients | $207B | UnitedHealth Group |
| 8 | Indiana64 recipients | $206.8B | Indiana Family and Social Serv |
| 9 | Kentucky66 recipients | $202B | Health Services Kentucky Cabinet for |
| 10 | Connecticut54 recipients | $151.9B | General Dynamics Corporation |
| 11 | South Carolina91 recipients | $145B | Department of Health Human Services |
| 12 | Illinois132 recipients | $137.7B | Illinois Department of Healthcare & Family Services |
| 13 | Ohio133 recipients | $133.3B | Ohio Department of Medicaid |
| 14 | Michigan84 recipients | $129.9B | Michigan Department of Health and Human Services |
| 15 | North Carolina130 recipients | $129.8B | North Carolina Department of Health & Human Services |
| 16 | Tennessee89 recipients | $129.3B | Finance & Administration Tennessee Depar |
| 17 | Arizona101 recipients | $127.1B | Arizona Health Care Cost Containment System |
| 18 | Wisconsin55 recipients | $117B | State of Wisconsin Department of Health Services |
| 19 | Massachusetts129 recipients | $111B | The Commonwealth of Massachusetts |
| 20 | Georgia169 recipients | $108B | Georgia Department of Community Health |
| 21 | North Dakota20 recipients | $103.7B | North Dakota Department of Human Services |
| 22 | Washington115 recipients | $102B | Department of Social & Health Services |
| 23 | New Jersey104 recipients | $101.2B | New Jersey Department of Human Services |
| 24 | Maryland332 recipients | $100.3B | Maryland Department of Health |
| 25 | Missouri75 recipients | $97.4B | Department of Social Services Misso |
| 26 | Alabama193 recipients | $72.1B | Alabama Medicaid Agency |
| 27 | Colorado138 recipients | $70.5B | State of Colorado - Dept of Health Care Policy & Financing |
| 28 | Louisiana69 recipients | $62.9B | Lousiana Department of Health |
| 29 | Oregon44 recipients | $61B | Oregon Health Authority-Public Health |
| 30 | District Of Columbia295 recipients | $53B | National Railroad Passenger Corporation |
| 31 | Oklahoma66 recipients | $51B | Oklahoma Health Care Authority |
| 32 | New Mexico75 recipients | $46.4B | New Mexico Health Care Authority |
| 33 | Puerto Rico31 recipients | $41.2B | Puerto Rico Department of Health |
| 34 | Mississippi60 recipients | $38.5B | Mississippi Division of Medicaid |
| 35 | Iowa51 recipients | $34.6B | IA Department of Human Services |
| 36 | Arkansas34 recipients | $34.4B | Arkansas Department of Human Services |
| 37 | Nevada43 recipients | $33.8B | Nevada Department of Human Services |
| 38 | Kansas44 recipients | $32.6B | Kansas Department of Health & Environment |
| 39 | Utah59 recipients | $31.3B | Utah Department of Health and Human Services |
| 40 | Nebraska22 recipients | $28.7B | Nebraska Department of Health & Human Services |
| 41 | West Virginia43 recipients | $25.1B | West Virginia Department of Health and Human Resources |
| 42 | Idaho27 recipients | $22.9B | Idaho Department of Health & Welfare |
| 43 | Maine15 recipients | $22.3B | Maine Department of Health and Human Services |
| 44 | Alaska59 recipients | $19.6B | State of Alaska Department of Health |
| 45 | Hawaii69 recipients | $19B | Department of Human Services Hawaii |
| 46 | New Hampshire17 recipients | $16.9B | New Hampshire Department of Health & Human Services |
| 47 | Rhode Island31 recipients | $16.1B | State of Rhode Island Department of Administration |
| 48 | Montana25 recipients | $15B | State of Montana Department of Health and Human Services |
| 49 | Delaware11 recipients | $13.1B | Delaware Dept of Health and Social Services |
| 50 | South Dakota26 recipients | $12B | Social Services South Dakota Department |
| 51 | Vermont19 recipients | $8.9B | Human Services Vermont Agency of |
| 52 | Wyoming14 recipients | $7B | Department of Health Wyoming |
| 53 | Guam15 recipients | $3.4B | Black Construction-Tutor Perini JV |
| 54 | U.S. Virgin Islands6 recipients | $1.5B | Government of the Virgin Islands |
| 55 | Northern Mariana Islands5 recipients | $963.6M | Department of Public Health-D Iv. Of PH |
| 56 | American Samoa3 recipients | $505.5M | American Samoa Medicaid Agency |