Year	Employer	Vendor Name	Amount	Source
2022	Texas State Checkbook	Confidential	$27,498,108,645.92	Texas State Checkbook
2021	Texas State Checkbook	Confidential	$25,169,536,360.24	Texas State Checkbook
2023	Teacher Retirement System Of Texas	Confidential	$13,453,291,841.45	Texas State Checkbook
2020	Teacher Retirement System Of Texas	Confidential	$12,131,852,473.96	Texas State Checkbook
2020	Comptroller-Treasury Fiscal	Cede & Company	$8,313,005,464.00	Texas State Checkbook
2021	Texas State Checkbook	Cede & Company	$7,997,677,480.22	Texas State Checkbook
2019	Comptroller - Treasury Fiscal	Cede & Company	$7,482,476,714.40	Texas State Checkbook
2023	Employees Retirement System Of Texas	The Bank Of New York Mellon	$6,717,200,000.00	Texas State Checkbook
2023	Health And Human Services Commission	Superior Healthplan Inc	$6,638,773,904.90	Texas State Checkbook
2022	Texas State Checkbook	Superior Healthplan Inc	$6,542,110,829.68	Texas State Checkbook
2022	Texas State Checkbook	The Bank Of New York Mellon	$6,032,500,000.00	Texas State Checkbook
2022	Texas State Checkbook	Americaid Tx - Chip	$6,025,018,086.48	Texas State Checkbook
2023	Health And Human Services Commission	Americaid Tx - Chip	$5,998,177,021.64	Texas State Checkbook
2022	Texas State Checkbook	Bank Of New York Mellon	$5,634,610,744.80	Texas State Checkbook
2018	Comptroller - Treasury Fiscal	Cede & Company	$5,614,816,438.80	Texas State Checkbook
2021	Texas State Checkbook	Superior Healthplan Inc	$5,359,417,724.27	Texas State Checkbook
2021	Texas State Checkbook	The Bank Of New York Mellon	$5,234,297,000.00	Texas State Checkbook
2023	Comptroller-State Fiscal	Texas Treasury Safekeeping Trust Company	$5,219,972,734.00	Texas State Checkbook
2020	Employees Retirement System Of Texas	The Bank Of New York Mellon	$5,193,921,000.00	Texas State Checkbook
2017	Employees Retirement System Of Texas	The Bank Of New York Mellon	$5,097,411,000.00	Texas State Checkbook
2018	Employees Retirement System Of Texas	The Bank Of New York Mellon	$5,010,016,000.00	Texas State Checkbook
2018	Teacher Retirement System Of Texas	Confidential	$4,924,255,766.44	Texas State Checkbook
2021	Texas State Checkbook	Americaid Tx - Chip	$4,732,531,251.17	Texas State Checkbook
2020	Health And Human Services Commission	Superior Healthplan Inc	$4,553,245,809.51	Texas State Checkbook
2019	Employees Retirement System Of Texas	The Bank Of New York Mellon	$4,482,702,000.00	Texas State Checkbook
2017	Health And Human Services Commission	Americaid Tx - Chip	$4,403,428,403.80	Texas State Checkbook
2021	Texas State Checkbook	Bank Of New York Mellon	$4,325,594,759.60	Texas State Checkbook
2019	Teacher Retirement System Of Texas	Confidential	$4,281,313,682.18	Texas State Checkbook
2018	Health And Human Services Commission	Superior Healthplan Inc	$4,034,831,726.26	Texas State Checkbook
2017	Health And Human Services Commission	Superior Healthplan Inc	$4,025,903,431.88	Texas State Checkbook
2021	Texas State Checkbook	Bcfs Health And Human Services	$4,024,850,539.61	Texas State Checkbook
2023	Health And Human Services Commission	Molina Healthcare Of Texas Inc	$3,938,524,417.51	Texas State Checkbook
2019	Health And Human Services Commission	Superior Healthplan Inc	$3,938,256,666.08	Texas State Checkbook
2020	Health And Human Services Commission	Americaid Tx - Chip	$3,824,881,881.44	Texas State Checkbook
2022	Texas State Checkbook	Molina Healthcare Of Texas Inc	$3,759,811,339.28	Texas State Checkbook
2017	Health And Human Services Commission	Accenture Llp	$3,707,368,627.75	Texas State Checkbook
2023	Health And Human Services Commission	Bankers Reserve Life Insurance Co Of Wisconsin	$3,695,742,729.90	Texas State Checkbook
2018	Health And Human Services Commission	Americaid Tx - Chip	$3,610,412,381.40	Texas State Checkbook
2022	Texas State Checkbook	Bankers Reserve Life Insurance Co Of Wisconsin	$3,503,971,585.49	Texas State Checkbook
2023	Health And Human Services Commission	Texas Children's Health Plan	$3,376,997,070.63	Texas State Checkbook
2020	Texas Education Agency	Bank Of New York Mellon	$3,332,344,250.36	Texas State Checkbook
2019	Health And Human Services Commission	Americaid Tx - Chip	$3,306,842,101.49	Texas State Checkbook
2023	Employees Retirement System Of Texas	Confidential	$3,213,628,473.86	Texas State Checkbook
2022	Texas State Checkbook	Texas Children's Health Plan	$3,080,886,516.93	Texas State Checkbook
2020	Employees Retirement System Of Texas	Confidential	$2,915,222,335.80	Texas State Checkbook
2019	Health And Human Services Commission	Accenture Llp	$2,818,795,974.02	Texas State Checkbook
2021	Texas State Checkbook	Bankers Reserve Life Insurance Co Of Wisconsin	$2,762,782,877.82	Texas State Checkbook
2022	Texas State Checkbook	Texas Treasury Safekeeping Trust Company	$2,748,687,819.16	Texas State Checkbook
2018	Health And Human Services Commission	Accenture Llp	$2,695,445,662.05	Texas State Checkbook
2023	Texas Permanent School Fund Corporation	Bank Of New York Mellon	$2,563,174,018.05	Texas State Checkbook
2022	Texas State Checkbook	Accenture Llp	$2,562,572,223.79	Texas State Checkbook
2022	Texas State Checkbook	United Healthcare Community Plan Of Texas Llc	$2,499,038,150.51	Texas State Checkbook
2021	Texas State Checkbook	Texas Children's Health Plan	$2,496,777,258.87	Texas State Checkbook
2023	Health And Human Services Commission	United Healthcare Community Plan Of Texas Llc	$2,491,503,286.13	Texas State Checkbook
2021	Texas State Checkbook	Molina Healthcare Of Texas Inc	$2,490,408,917.07	Texas State Checkbook
2020	Health And Human Services Commission	Accenture Llp	$2,488,971,495.28	Texas State Checkbook
2017	Teacher Retirement System Of Texas	Aetna U S Healthcare	$2,432,203,849.39	Texas State Checkbook
2022	Texas State Checkbook	Health Care Services Corporation; A Mutual Legal R	$2,392,226,411.15	Texas State Checkbook
2017	Teacher Retirement System Of Texas	Confidential	$2,362,035,459.95	Texas State Checkbook
2018	Teacher Retirement System Of Texas	Aetna U S Healthcare	$2,359,630,540.71	Texas State Checkbook
2021	Texas State Checkbook	Accenture Llp	$2,354,086,692.85	Texas State Checkbook
2023	Teacher Retirement System Of Texas	Health Care Services Corporation; A Mutual Legal R	$2,324,066,675.98	Texas State Checkbook
2020	Health And Human Services Commission	Bankers Reserve Life Insurance Co Of Wisconsin	$2,313,499,118.55	Texas State Checkbook
2023	Health And Human Services Commission	Accenture Llp	$2,280,750,798.63	Texas State Checkbook
2020	Health And Human Services Commission	Molina Healthcare Of Texas Inc	$2,260,812,120.75	Texas State Checkbook
2017	Health And Human Services Commission	United Healthcare Community Plan Of Texas Llc	$2,183,100,465.25	Texas State Checkbook
2021	Texas State Checkbook	United Healthcare Community Plan Of Texas Llc	$2,113,818,869.44	Texas State Checkbook
2018	Health And Human Services Commission	Molina Healthcare Of Texas Inc	$2,109,406,925.05	Texas State Checkbook
2023	Health And Human Services Commission	Confidential	$2,069,220,998.01	Texas State Checkbook
2022	Texas State Checkbook	Internal Revenue Service	$2,056,517,388.87	Texas State Checkbook
2020	Teacher Retirement System Of Texas	Aetna Us Healthcare	$2,041,161,426.64	Texas State Checkbook
2017	Health And Human Services Commission	Bankers Reserve Life Insurance Co Of Wisconsin	$2,032,733,556.49	Texas State Checkbook
2019	Health And Human Services Commission	Molina Healthcare Of Texas Inc	$2,023,875,989.57	Texas State Checkbook
2018	Health And Human Services Commission	Bankers Reserve Life Insurance Co Of Wisconsin	$2,015,984,837.90	Texas State Checkbook
2019	Health And Human Services Commission	Bankers Reserve Life Insurance Co Of Wisconsin	$2,011,905,012.45	Texas State Checkbook
2023	Health And Human Services Commission	Community Health Choice Texas Inc	$2,001,528,991.80	Texas State Checkbook
2021	Texas State Checkbook	Internal Revenue Service	$1,933,534,405.98	Texas State Checkbook
2018	Health And Human Services Commission	Confidential	$1,913,033,412.83	Texas State Checkbook
2018	Health And Human Services Commission	United Healthcare Community Plan Of Texas Llc	$1,912,379,206.76	Texas State Checkbook
2020	Health And Human Services Commission	Texas Children's Health Plan	$1,896,359,744.23	Texas State Checkbook
2022	Texas State Checkbook	Community Health Choice Texas Inc	$1,886,549,359.27	Texas State Checkbook
2023	University Of Texas System	Bank Of New York Mellon	$1,843,164,645.93	Texas State Checkbook
2020	Health And Human Services Commission	United Healthcare Community Plan Of Texas Llc	$1,842,245,029.78	Texas State Checkbook
2019	Teacher Retirement System Of Texas	Aetna Us Healthcare	$1,829,911,421.26	Texas State Checkbook
2022	Texas State Checkbook	Bcfs Health And Human Services	$1,826,917,142.09	Texas State Checkbook
2023	Health And Human Services Commission	Amerigroup Insurance Company	$1,823,137,046.35	Texas State Checkbook
2022	Texas State Checkbook	Amerigroup Insurance Company	$1,782,905,765.89	Texas State Checkbook
2021	Texas State Checkbook	Health Care Services Corporation; A Mutual Legal R	$1,781,242,952.10	Texas State Checkbook
2023	Health And Human Services Commission	United Healthcare Insurance Company	$1,771,994,539.47	Texas State Checkbook
2022	Texas State Checkbook	United Healthcare Insurance Company	$1,751,245,889.45	Texas State Checkbook
2020	Health And Human Services Commission	Confidential	$1,698,874,604.78	Texas State Checkbook
2018	Health And Human Services Commission	Texas Children's Health Plan	$1,631,334,731.93	Texas State Checkbook
2021	Texas State Checkbook	Community Health Choice Texas Inc	$1,589,518,111.70	Texas State Checkbook
2019	Health And Human Services Commission	United Healthcare Community Plan Of Texas Llc	$1,582,528,511.41	Texas State Checkbook
2019	Health And Human Services Commission	Texas Children's Health Plan	$1,563,048,074.64	Texas State Checkbook
2017	Health And Human Services Commission	Texas Children's Health Plan	$1,561,158,012.25	Texas State Checkbook
2021	Texas State Checkbook	United Healthcare Insurance Company	$1,555,184,433.15	Texas State Checkbook
2021	Texas State Checkbook	Texas Treasury Safekeeping Trust Company	$1,511,785,358.17	Texas State Checkbook
2023	Health And Human Services Commission	Unitedhealthcare Community Plan Of Texas Llc	$1,503,445,564.72	Texas State Checkbook
2020	Health And Human Services Commission	United Healthcare Insurance Company	$1,498,850,966.63	Texas State Checkbook