Year	Employer	Vendor Name	Amount	Source
2023	Health And Human Services Commission	Federal Supplementary Medical Ins Trust Fnd-Part B	$1,495,474,538.30	Texas State Checkbook
2019	Health And Human Services Commission	Confidential	$1,490,534,282.37	Texas State Checkbook
2022	Texas State Checkbook	State Street Bank And Trust Company	$1,483,847,829.61	Texas State Checkbook
2017	Health And Human Services Commission	Molina Healthcare Of Texas Inc	$1,472,451,791.56	Texas State Checkbook
2021	Texas State Checkbook	Amerigroup Insurance Company	$1,469,236,667.82	Texas State Checkbook
2023	Health And Human Services Commission	Driscoll Children's Health Plan	$1,440,130,095.17	Texas State Checkbook
2022	Texas State Checkbook	Federal Supplementary Medical Ins Trust Fnd-Part B	$1,400,444,624.00	Texas State Checkbook
2022	Texas State Checkbook	Unitedhealthcare Community Plan Of Texas Llc	$1,327,292,467.71	Texas State Checkbook
2022	Texas State Checkbook	Driscoll Children's Health Plan	$1,311,784,922.51	Texas State Checkbook
2019	Health And Human Services Commission	United Healthcare Insurance Company	$1,273,672,239.95	Texas State Checkbook
2018	Employees Retirement System Of Texas	Confidential	$1,235,857,449.10	Texas State Checkbook
2021	Texas State Checkbook	Federal Supplementary Medical Ins Trust Fnd-Part B	$1,234,254,380.50	Texas State Checkbook
2023	Texas Department Of Criminal Justice	Confidential	$1,230,198,702.40	Texas State Checkbook
2023	Health And Human Services Commission	Parkland Community Health Plan Inc	$1,215,435,426.31	Texas State Checkbook
2020	Health And Human Services Commission	Federal Supplementary Medical Ins Trust Fnd-Part B	$1,172,959,637.10	Texas State Checkbook
2023	Health And Human Services Commission	Harris County Hospital District	$1,170,224,531.01	Texas State Checkbook
2017	Texas Department Of Criminal Justice	Confidential	$1,166,938,272.62	Texas State Checkbook
2020	Health And Human Services Commission	Amerigroup Insurance Company	$1,149,400,576.19	Texas State Checkbook
2020	Texas Department Of Criminal Justice	Confidential	$1,141,310,180.74	Texas State Checkbook
2021	Texas State Checkbook	Employees Group Insurance Fund State Contr	$1,132,145,629.68	Texas State Checkbook
2023	Health And Human Services Commission	Dallas County Hospital District	$1,116,726,431.47	Texas State Checkbook
2020	General Land Office	State Street Bank And Trust Company	$1,101,476,198.41	Texas State Checkbook
2023	Health And Human Services Commission	Aetna Better Health Of Texas Inc	$1,081,184,823.09	Texas State Checkbook
2018	Texas Department Of Criminal Justice	Confidential	$1,071,448,942.91	Texas State Checkbook
2019	Employees Retirement System Of Texas	Confidential	$1,070,555,841.07	Texas State Checkbook
2022	Texas State Checkbook	Employees Group Insurance Fund State Contr	$1,065,460,576.10	Texas State Checkbook
2018	Health And Human Services Commission	Federal Supplementary Medical Ins Trust Fnd-Part B	$1,063,733,277.70	Texas State Checkbook
2020	Comptroller-State Fiscal	Texas Treasury Safekeeping Trust Company	$1,055,000,000.00	Texas State Checkbook
2021	Texas State Checkbook	Healthspring Life & Health Insurance Company Inc	$1,052,572,767.20	Texas State Checkbook
2020	Health And Human Services Commission	Healthspring Life & Health Insurance Company Inc	$1,045,947,366.20	Texas State Checkbook
2018	University Of Texas System	Bank Of New York Mellon	$1,032,429,168.79	Texas State Checkbook
2022	Texas State Checkbook	Dallas County Hospital District	$1,029,831,621.38	Texas State Checkbook
2023	Comptroller-State Fiscal	Houston Metropolitan Transit Authority	$1,028,747,260.81	Texas State Checkbook
2022	Texas State Checkbook	Harris County Hospital District	$1,028,461,623.47	Texas State Checkbook
2021	Texas State Checkbook	Driscoll Children's Health Plan	$1,028,085,573.26	Texas State Checkbook
2023	Health And Human Services Commission	Cook Children's Health Plan	$1,027,646,604.60	Texas State Checkbook
2019	Texas Department Of Criminal Justice	Confidential	$1,018,290,841.71	Texas State Checkbook
2017	Health And Human Services Commission	Federal Supplementary Medical Ins Trust Fnd-part B	$1,017,033,465.20	Texas State Checkbook
2021	Texas State Checkbook	Unitedhealthcare Community Plan Of Texas Llc	$1,011,676,273.05	Texas State Checkbook
2020	Health And Human Services Commission	Community Health Choice Texas Inc	$1,009,346,079.16	Texas State Checkbook
2023	Teacher Retirement System Of Texas	Silverscript Insurance Company	$994,683,251.34	Texas State Checkbook
2021	Texas State Checkbook	Angel Staffing Incorporated	$992,303,135.48	Texas State Checkbook
2020	Health And Human Services Commission	Dallas County Hospital District	$991,543,593.73	Texas State Checkbook
2023	Health And Human Services Commission	Community First Health Plans Inc	$988,738,400.59	Texas State Checkbook
2023	Texas Education Agency	Houston Isd	$985,026,590.92	Texas State Checkbook
2019	Health And Human Services Commission	Amerigroup Insurance Company	$979,851,752.76	Texas State Checkbook
2022	Texas State Checkbook	Parkland Community Health Plan Inc	$973,124,987.13	Texas State Checkbook
2022	Texas State Checkbook	Cook Children's Health Plan	$972,895,961.47	Texas State Checkbook
2022	Texas State Checkbook	Aetna Better Health Of Texas Inc	$971,007,362.08	Texas State Checkbook
2017	Health And Human Services Commission	Healthspring Life & Health Insurance Company Inc	$966,390,632.24	Texas State Checkbook
2019	General Land Office	State Street Bank And Trust Company	$965,897,564.00	Texas State Checkbook
2018	Health And Human Services Commission	Healthspring Life & Health Insurance Company Inc	$960,211,839.56	Texas State Checkbook
2017	Teacher Retirement System Of Texas	Express Scripts Inc	$950,290,838.22	Texas State Checkbook
2022	Texas State Checkbook	Houston Metropolitan Transit Authority	$948,826,599.66	Texas State Checkbook
2021	Texas State Checkbook	State Street Bank And Trust Company	$945,615,138.36	Texas State Checkbook
2022	Texas State Checkbook	Community First Health Plans Inc	$934,402,966.73	Texas State Checkbook
2019	University Of Texas System	Bank Of New York Mellon	$931,545,844.53	Texas State Checkbook
2023	Texas Education Agency	Idea Academy Inc	$928,001,474.20	Texas State Checkbook
2018	Health And Human Services Commission	United Healthcare Insurance Company	$924,021,504.27	Texas State Checkbook
2020	Health And Human Services Commission	Harris County Hospital District	$921,128,145.59	Texas State Checkbook
2019	Health And Human Services Commission	Healthspring Life & Health Insurance Company Inc	$918,594,880.65	Texas State Checkbook
2023	Comptroller-State Fiscal	City Of Houston Controllers Office	$911,297,460.47	Texas State Checkbook
2019	Health And Human Services Commission	Federal Supplementary Medical Ins Trust Fnd-Part B	$903,191,683.30	Texas State Checkbook
2017	Health And Human Services Commission	Community Health Choice	$899,386,919.85	Texas State Checkbook
2022	Texas State Checkbook	Silverscript Insurance Company	$897,120,724.52	Texas State Checkbook
2017	Department Of State Health Services	Confidential	$890,816,540.94	Texas State Checkbook
2017	Health And Human Services Commission	Dentaquest Usa Insurance Company	$876,168,217.51	Texas State Checkbook
2018	General Land Office	State Street Bank And Trust Company	$864,125,976.38	Texas State Checkbook
2022	Texas State Checkbook	City Of Houston Controllers Office	$841,104,387.19	Texas State Checkbook
2022	Texas State Checkbook	Horne Llp Dba Texas Department Of Housing And Comm	$839,981,277.29	Texas State Checkbook
2020	Teacher Retirement System Of Texas	Silverscript Insurance Company	$839,886,487.63	Texas State Checkbook
2022	Texas State Checkbook	Dentaquest Usa Insurance Company	$839,869,665.57	Texas State Checkbook
2021	Texas State Checkbook	Parkland Community Health Plan Inc	$837,995,675.28	Texas State Checkbook
2017	General Land Office	State Street Bank And Trust Company	$836,327,584.53	Texas State Checkbook
2019	Health And Human Services Commission	Community Health Choice Texas Inc	$832,868,520.59	Texas State Checkbook
2023	Health And Human Services Commission	Dentaquest Usa Insurance Company	$830,032,674.34	Texas State Checkbook
2023	Comptroller-State Fiscal	Dallas Area Rapid Transit	$828,896,465.39	Texas State Checkbook
2022	Texas State Checkbook	Idea Academy Inc	$828,809,921.81	Texas State Checkbook
2018	Health And Human Services Commission	Amerigroup Insurance Company	$824,876,086.53	Texas State Checkbook
2021	Texas State Checkbook	Houston Metropolitan Transit Authority	$807,482,324.86	Texas State Checkbook
2021	Texas State Checkbook	Silverscript Insurance Company	$805,608,022.77	Texas State Checkbook
2019	Comptroller - State Fiscal	Texas Treasury Safekeeping Trust Company	$800,000,000.00	Texas State Checkbook
2021	Texas State Checkbook	Dentaquest Usa Insurance Company	$793,419,308.68	Texas State Checkbook
2021	Texas State Checkbook	Horne Llp	$785,411,507.36	Texas State Checkbook
2020	Texas Department Of Transportation	U S Bank N A - Minneapolis	$781,191,574.48	Texas State Checkbook
2020	Health And Human Services Commission	Driscoll Children's Health Plan	$780,225,069.56	Texas State Checkbook
2023	General Land Office	Gateway First Bank	$780,052,102.49	Texas State Checkbook
2020	Comptroller-State Fiscal	Houston Metropolitan Transit Authority	$774,133,290.22	Texas State Checkbook
2020	University Of Texas System	Bank Of New York Mellon	$771,358,898.18	Texas State Checkbook
2018	Health And Human Services Commission	Dentaquest Usa Insurance Company	$770,584,635.77	Texas State Checkbook
2021	Texas State Checkbook	Cook Children's Health Plan	$768,801,333.47	Texas State Checkbook
2022	Texas State Checkbook	Dallas Area Rapid Transit	$762,491,759.32	Texas State Checkbook
2017	Comptroller - State Fiscal	Houston Metropolitan Transit Authority	$755,974,914.60	Texas State Checkbook
2018	Comptroller - State Fiscal	Houston Metropolitan Transit Authority	$745,934,483.63	Texas State Checkbook
2021	Texas State Checkbook	Community First Health Plans Inc	$738,405,010.73	Texas State Checkbook
2021	Texas State Checkbook	Idea Academy Inc	$724,619,848.27	Texas State Checkbook
2020	Health And Human Services Commission	Dentaquest Usa Insurance Company	$722,092,276.64	Texas State Checkbook
2021	Texas State Checkbook	City Of Houston Controllers Office	$720,894,085.98	Texas State Checkbook
2017	University Of Texas System	Bank Of New York Mellon	$720,069,254.00	Texas State Checkbook
2023	Teacher Retirement System Of Texas	Caremark	$717,014,856.70	Texas State Checkbook