| 1 | Health Care Services, California Department of Sacramento, CA | $117.3 billion | |
| 2 | NYS Department of Health Albany, NY | $75.1 billion | |
| 3 | Health & Human SVC Commn TX Austin, TX | $46.6 billion | |
| 4 | PA Department of Human Services Harrisburg, PA | $39.8 billion | |
| 5 | North Carolina Department of Health & Human Services Raleigh, NC | $32.4 billion | |
| 6 | Ohio Department of Medicaid Columbus, OH | $29.0 billion | |
| 7 | Florida Agency for Health Care Administration Tallahassee, FL | $27.9 billion | |
| 8 | Michigan Department of Health and Human Services Lansing, MI | $27.7 billion | |
| 9 | Illinois Department of Healthcare & Family Services Springfield, IL | $25.5 billion | |
| 10 | Department of Social & Health Services Olympia, WA | $23.0 billion | |
| 11 | Department of Social Services California Sacramento, CA | $22.7 billion | |
| 12 | Optum Public Sector Solutions, INC. LA Crosse, WI | $22.5 billion | |
| 13 | Human Services, New Jersey Department of Trenton, NJ | $22.4 billion | |
| 14 | Health Services Kentucky Cabinet for Frankfort, KY | $20.5 billion | |
| 15 | Arizona Health Care Cost Containment System Phoenix, AZ | $18.9 billion | |
| 16 | Lockheed Martin Corporation (Grand Prairie) Grand Prairie, TX | $18.8 billion | |
| 17 | The Commonwealth of Massachusetts Boston, MA | $17.0 billion | |
| 18 | VA Department of Medical Assistance Service Richmond, VA | $16.8 billion | |
| 19 | Triwest Healthcare Alliance Corp Phoenix, AZ | $16.6 billion | |
| 20 | Department of Social Services Misso Jefferson City, MO | $16.5 billion | |
| 21 | Indiana Family and Social Serv Indianapolis, IN | $16.0 billion | |
| 22 | Oregon Health Authority-Public Health Salem, OR | $16.0 billion | |
| 23 | Lockheed Martin Corporation (Fort Worth) Fort Worth, TX | $15.3 billion | |
| 24 | Mckesson Corporation Irving, TX | $14.9 billion | |
| 25 | Georgia Department of Community Health Atlanta, GA | $14.9 billion | |
| 26 | Lousiana Department of Health Baton Rouge, LA | $14.6 billion | |
| 27 | Minnesota Department of Human Services Saint Paul, MN | $14.0 billion | |
| 28 | Fisher Sand & Gravel CO Tempe, AZ | $13.4 billion | |
| 29 | Maryland Department of Health Baltimore, MD | $13.0 billion | |
| 30 | Electric Boat Corporation Groton, CT | $12.9 billion | |
| 31 | State of Wisconsin Department of Health Services Madison, WI | $12.2 billion | |
| 32 | Finance & Administration Tennessee Depar Nashville, TN | $12.2 billion | |
| 33 | State of Colorado - Dept of Health Care Policy & Financing Denver, CO | $11.7 billion | |
| 34 | Raytheon Company Tucson, AZ | $11.3 billion | |
| 35 | New York State Office of Temporary & Disability Assistance Albany, NY | $11.1 billion | |
| 36 | New Mexico Health Care Authority Santa Fe, NM | $10.7 billion | |
| 37 | RTX Corporation East Hartford, CT | $10.0 billion | |
| 38 | The Boeing Company Tukwila, WA | $9.2 billion | |
| 39 | Oklahoma Health Care Authority Oklahoma City, OK | $8.9 billion | |
| 40 | National Railroad Passenger Corporation Washington, DC | $8.6 billion | |
| 41 | Department of Social Services Connecticut Hartford, CT | $8.5 billion | |
| 42 | Department of Health Human Services Columbia, SC | $8.3 billion | |
| 43 | Department of Education California Sacramento, CA | $7.6 billion | |
| 44 | Texas Office of the Governor Austin, TX | $7.6 billion | |
| 45 | IA Department of Human Services Des Moines, IA | $7.4 billion | |
| 46 | Human Services, Arkansas Department of Little Rock, AR | $7.1 billion | |
| 47 | Alabama Medicaid Agency Montgomery, AL | $6.9 billion | |
| 48 | Florida Department of Children and Families Tallahassee, FL | $6.8 billion | |
| 49 | Amerisourcebergen Drug Corp | $6.6 billion | |
| 50 | Department of Transportation California Sacramento, CA | $6.5 billion | |
WhereTaxMoneyGoes