Year	Employer	Vendor Name	Amount	Source
2024		Dept Human Services-Premium Payment-Mco	$152,266,932.35	Iowa State Checkbook
2019	Iowa Lottery Authority	Wells Fargo Bank Na-Online Game Direct Costs	$149,154,970.97	Iowa State Checkbook
2022	Iowa State Checkbook	Internal Revenue Service-Ipers Trust Fund	$148,811,772.64	Iowa State Checkbook
2024		Centers For Medicare & Medicaid Services-Buy-In - State Only	$146,000,446.54	Iowa State Checkbook
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - Ffp Eligible	$145,673,863.30	Iowa State Checkbook
2020	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - Ffp Eligible	$144,727,183.60	Iowa State Checkbook
2019	Ipers	Internal Revenue Service-Ipers Trust Fund	$141,693,470.12	Iowa State Checkbook
2021	Iowa State Checkbook	Davenport Comm Sch Dist	$140,205,768.41	Iowa State Checkbook
2018	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - Ffp Eligible	$137,965,879.40	Iowa State Checkbook
2023	Iowa State Checkbook	Waterloo Comm Sch Dist	$136,414,465.80	Iowa State Checkbook
2018	Human Services Assistance Pymt	Dept Human Services-Newly Eligible To 100%	$135,051,690.72	Iowa State Checkbook
2017	Human Services Assistance Pymt	Dept Human Services-newly Eligible To 100%	$134,028,627.15	Iowa State Checkbook
2018	Transportation, Dept Of	Lunda Construction	$133,278,286.08	Iowa State Checkbook
2022	Iowa State Checkbook	Waterloo Comm Sch Dist	$132,474,216.91	Iowa State Checkbook
2017	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-buy-in - Ffp Eligible	$130,071,853.10	Iowa State Checkbook
2023	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$128,217,938.67	Iowa State Checkbook
2020	Education, Dept Of	Sioux City Comm Sch Dist	$127,571,051.99	Iowa State Checkbook
2022	Iowa State Checkbook	Cramer & Assoc Inc	$127,186,259.34	Iowa State Checkbook
2023	Iowa State Checkbook	Iowa City Comm Sch Dist	$126,853,718.16	Iowa State Checkbook
2021	Iowa State Checkbook	Dept Human Services-Premium Payment-Mco	$126,287,112.00	Iowa State Checkbook
2019	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - Ffp Eligible	$125,691,517.10	Iowa State Checkbook
2022	Iowa State Checkbook	Des Moines City Of	$124,960,548.85	Iowa State Checkbook
2020	Human Services Assistance Pymt	Dept Human Services-Premium Payment-Mco	$124,260,867.18	Iowa State Checkbook
2020	Education, Dept Of	Cedar Rapids Csd	$123,584,400.96	Iowa State Checkbook
2019	Education, Dept Of	Sioux City Comm Sch Dist	$123,387,605.95	Iowa State Checkbook
2020	Education, Dept Of	Davenport Comm Sch Dist	$123,262,681.57	Iowa State Checkbook
2019	Human Services Assistance Pymt	Dept Human Services-Modernization-Ihwp Newly-Modernization-Ihwp Newly	$122,795,519.55	Iowa State Checkbook
2018	Education, Dept Of	Sioux City Comm Sch Dist	$122,430,641.67	Iowa State Checkbook
2024		Waterloo Comm Sch Dist	$122,009,808.56	Iowa State Checkbook
2019	Education, Dept Of	Davenport Comm Sch Dist	$120,909,602.26	Iowa State Checkbook
2019	Human Services Assistance Pymt	Dept Human Services-Newly Eligible To 100%	$120,731,317.19	Iowa State Checkbook
2018	Education, Dept Of	Davenport Comm Sch Dist	$120,718,591.43	Iowa State Checkbook
2021	Iowa State Checkbook	Waterloo Comm Sch Dist	$120,663,908.82	Iowa State Checkbook
2017	Education, Dept Of	Sioux City Comm Sch Dist	$120,119,978.94	Iowa State Checkbook
2019	Education, Dept Of	Cedar Rapids Csd	$118,681,838.54	Iowa State Checkbook
2022	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$118,175,107.71	Iowa State Checkbook
2018	Education, Dept Of	Cedar Rapids Csd	$117,333,207.03	Iowa State Checkbook
2024		University Of Iowa	$116,815,496.48	Iowa State Checkbook
2022	Iowa State Checkbook	Iowa City Comm Sch Dist	$116,799,252.47	Iowa State Checkbook
2024		Polk County	$116,556,107.35	Iowa State Checkbook
2017	Education, Dept Of	Davenport Comm Sch Dist	$116,088,490.23	Iowa State Checkbook
2024		Iowa City Comm Sch Dist	$115,647,519.76	Iowa State Checkbook
2023	Iowa State Checkbook	Des Moines City Of	$114,961,969.68	Iowa State Checkbook
2023	Iowa State Checkbook	C J Moyna & Sons Llc	$114,836,004.64	Iowa State Checkbook
2017	Education, Dept Of	Cedar Rapids Csd	$113,381,746.24	Iowa State Checkbook
2024		Heartland Area Education Agency	$112,917,920.30	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Iowa	$112,853,878.36	Iowa State Checkbook
2022	Iowa State Checkbook	University Of Iowa	$111,501,345.54	Iowa State Checkbook
2021	Iowa State Checkbook	Iowa Workforce Dev-Ui-Dua Benefitsfema #1763	$111,382,497.00	Iowa State Checkbook
2020	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$111,139,715.71	Iowa State Checkbook
2022	Iowa State Checkbook	Dept Human Services-Arpa-Hcbs	$111,093,334.00	Iowa State Checkbook
2023	Iowa State Checkbook	Dept Human Services-Premium Payment-Mco	$110,851,944.32	Iowa State Checkbook
2024		Des Moines City Of	$110,443,444.80	Iowa State Checkbook
2023	Iowa State Checkbook	Heartland Area Education Agency	$109,868,262.92	Iowa State Checkbook
2019	Human Services Assistance Pymt	Unitedhealthcare Plan Of The River Valley Inc	$109,842,055.81	Iowa State Checkbook
2024		C J Moyna & Sons Llc	$109,292,039.87	Iowa State Checkbook
2018	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$108,730,350.76	Iowa State Checkbook
2021	Iowa State Checkbook	Centers For Medicare & Medicaid Services-Buy-In - State Only	$108,510,436.66	Iowa State Checkbook
2022	Iowa State Checkbook	Dept Human Services-Premium Payment-Mco	$108,441,319.75	Iowa State Checkbook
2019	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-Buy-In - State Only	$107,881,382.29	Iowa State Checkbook
2022	Iowa State Checkbook	Heartland Area Education Agency	$107,134,038.70	Iowa State Checkbook
2021	Iowa State Checkbook	Iowa City Comm Sch Dist	$106,342,864.55	Iowa State Checkbook
2022	Iowa State Checkbook	Cedar Rapids City Of	$106,217,645.67	Iowa State Checkbook
2021	Iowa State Checkbook	Internal Revenue Service-Ui-Dua Benefitsfema #1763	$105,984,080.19	Iowa State Checkbook
2022	Iowa State Checkbook	Dept Human Services-Modernization-Ihwp Newly-Modernization-Ihwp Newly	$105,596,585.89	Iowa State Checkbook
2024		Waukee Comm Sch Dist	$105,593,499.52	Iowa State Checkbook
2021	Iowa State Checkbook	Cramer & Assoc Inc	$105,580,740.33	Iowa State Checkbook
2022	Iowa State Checkbook	Dubuque Comm Sch Dist	$104,642,531.55	Iowa State Checkbook
2024		Ankeny Comm Sch Dist	$104,345,650.21	Iowa State Checkbook
2024		Primary Class Inc-Education Savings Account Fund	$104,236,531.55	Iowa State Checkbook
2023	Iowa State Checkbook	Council Bluffs Comm Schl	$104,094,254.00	Iowa State Checkbook
2023	Iowa State Checkbook	Cramer & Assoc Inc	$103,692,767.33	Iowa State Checkbook
2022	Iowa State Checkbook	Council Bluffs Comm Schl	$101,033,880.05	Iowa State Checkbook
2023	Iowa State Checkbook	Ankeny Comm Sch Dist	$99,929,941.65	Iowa State Checkbook
2023	Iowa State Checkbook	Waukee Comm Sch Dist	$99,717,295.96	Iowa State Checkbook
2020	Regents, Board Of	University Of Northern Iowa-Uni - General University	$99,712,362.00	Iowa State Checkbook
2023	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$99,408,923.00	Iowa State Checkbook
2024		University Of Northern Iowa-Uni - General University	$99,408,923.00	Iowa State Checkbook
2024		Council Bluffs Comm Schl	$99,023,955.00	Iowa State Checkbook
2023	Iowa State Checkbook	Dubuque Comm Sch Dist	$98,880,181.61	Iowa State Checkbook
2021	Iowa State Checkbook	University Of Northern Iowa-Uni - General University	$98,296,620.00	Iowa State Checkbook
2020	Education, Dept Of	Area Education Agency 11	$98,197,075.75	Iowa State Checkbook
2024		Dept Human Services-Newly Eligible To 100%	$97,832,366.91	Iowa State Checkbook
2017	Human Services Assistance Pymt	Centers For Medicare & Medicaid Services-buy-in - State Only	$97,565,029.51	Iowa State Checkbook
2024		Dubuque Comm Sch Dist	$97,323,590.21	Iowa State Checkbook
2021	Iowa State Checkbook	Dubuque Comm Sch Dist	$95,762,091.71	Iowa State Checkbook
2019	Education, Dept Of	Area Education Agency 11	$95,738,127.64	Iowa State Checkbook
2023	Iowa State Checkbook	Dept Human Services-Newly Eligible To 100C/O	$95,386,696.73	Iowa State Checkbook
2021	Iowa State Checkbook	Heartland Area Education Agency	$95,032,340.52	Iowa State Checkbook
2024		Peterson Contractors Inc	$94,879,117.53	Iowa State Checkbook
2022	Iowa State Checkbook	Waukee Comm Sch Dist	$94,850,545.05	Iowa State Checkbook
2017	Regents, Board Of	University Of Northern Iowa-uni - General University	$94,535,232.00	Iowa State Checkbook
2020	Education, Dept Of	Waterloo Comm Sch Dist	$94,350,373.66	Iowa State Checkbook
2020	Human Services Assistance Pymt	Dept Human Services-Newly Eligible To 100%	$93,801,132.12	Iowa State Checkbook
2021	Iowa State Checkbook	Polk Co Treasurer	$93,715,618.70	Iowa State Checkbook
2018	Regents, Board Of	University Of Northern Iowa-Uni - General University	$93,712,362.00	Iowa State Checkbook
2020	Transportation, Dept Of	Cramer & Assoc Inc	$92,472,414.81	Iowa State Checkbook
2022	Iowa State Checkbook	Ankeny Comm Sch Dist	$92,272,455.02	Iowa State Checkbook
2018	Education, Dept Of	Area Education Agency 11	$91,984,440.88	Iowa State Checkbook
2018	Transportation, Dept Of	C J Moyna & Sons	$91,804,093.29	Iowa State Checkbook