Year	Employer	Vendor Name	Amount	Source
2021	Texas State Checkbook	Aetna Better Health Of Texas Inc	$709,552,317.59	Texas State Checkbook
2017	Health And Human Services Commission	Driscoll Children's Health Plan	$708,122,487.47	Texas State Checkbook
2022	Texas State Checkbook	U S Bank N A - Minneapolis	$705,797,240.77	Texas State Checkbook
2017	Comptroller - State Fiscal	City Of Houston Controllers Office	$704,062,671.40	Texas State Checkbook
2020	Comptroller-State Fiscal	City Of Houston Controllers Office	$698,756,300.54	Texas State Checkbook
2017	Texas Department Of Criminal Justice	University Of Tx Med Branch At Galveston	$697,466,765.57	Texas State Checkbook
2018	Health And Human Services Commission	Dallas County Hospital District	$695,300,591.43	Texas State Checkbook
2022	Texas State Checkbook	Houston Isd	$694,871,068.26	Texas State Checkbook
2018	Comptroller - State Fiscal	City Of Houston Controllers Office	$690,363,639.73	Texas State Checkbook
2019	Health And Human Services Commission	Dentaquest Usa Insurance Company	$683,936,427.31	Texas State Checkbook
2022	Texas State Checkbook	Caremark	$682,615,791.01	Texas State Checkbook
2017	Health And Human Services Commission	Dallas County Hospital District	$682,031,131.74	Texas State Checkbook
2023	Texas Department Of Transportation	U S Bank N A - Minneapolis	$676,644,126.14	Texas State Checkbook
2021	Texas State Checkbook	U S Bank N A - Minneapolis	$673,651,698.16	Texas State Checkbook
2018	Texas Department Of Transportation	U S Bank N A - Minneapolis	$673,480,147.55	Texas State Checkbook
2017	Health And Human Services Commission	Molina Healthcare Of Texas	$663,915,330.93	Texas State Checkbook
2021	Texas State Checkbook	Dallas County Hospital District	$663,685,634.04	Texas State Checkbook
2023	Texas Department Of Criminal Justice	University Of Tx Med Branch At Galveston	$660,986,378.76	Texas State Checkbook
2019	Comptroller - State Fiscal	Houston Metropolitan Transit Authority	$656,418,055.90	Texas State Checkbook
2017	Health And Human Services Commission	Mcna Insurance Company	$655,108,493.80	Texas State Checkbook
2021	Texas State Checkbook	W W Webber Llc	$654,095,029.45	Texas State Checkbook
2021	Texas State Checkbook	Harris County Hospital District	$653,334,753.87	Texas State Checkbook
2018	Health And Human Services Commission	Driscoll Children's Health Plan	$651,303,460.57	Texas State Checkbook
2021	Texas State Checkbook	Dallas Area Rapid Transit	$651,037,520.92	Texas State Checkbook
2019	Teacher Retirement System Of Texas	Silverscript Insurance Company	$648,821,770.99	Texas State Checkbook
2019	Health And Human Services Commission	Driscoll Children's Health Plan	$642,301,885.45	Texas State Checkbook
2020	Teacher Retirement System Of Texas	Caremark	$640,042,526.23	Texas State Checkbook
2023	Texas Education Agency	Aldine Independent School District	$634,952,235.35	Texas State Checkbook
2017	Health And Human Services Commission	Harris County Hospital District	$630,214,001.72	Texas State Checkbook
2020	Comptroller-State Fiscal	Dallas Area Rapid Transit	$621,792,633.48	Texas State Checkbook
2020	Health And Human Services Commission	Cook Children's Health Plan	$621,496,598.09	Texas State Checkbook
2020	Health And Human Services Commission	Parkland Community Health Plan Inc	$618,695,713.67	Texas State Checkbook
2023	Texas Department Of Housing And Community Affairs	Yardi Systems Inc	$618,032,890.04	Texas State Checkbook
2020	Health And Human Services Commission	Unitedhealthcare Community Plan Of Texas Llc	$617,581,283.70	Texas State Checkbook
2023	Texas Department Of Public Safety	Confidential	$615,891,757.57	Texas State Checkbook
2017	Comptroller - State Fiscal	Dallas Area Rapid Transit	$614,284,624.40	Texas State Checkbook
2023	University Of Texas At Austin	Confidential	$612,427,469.87	Texas State Checkbook
2020	Attorney General	Confidential	$608,771,427.36	Texas State Checkbook
2017	Employees Retirement System Of Texas	Confidential	$604,117,854.29	Texas State Checkbook
2023	Texas Education Agency	Dallas Isd	$604,116,833.35	Texas State Checkbook
2022	Texas State Checkbook	Aldine Independent School District	$601,851,958.71	Texas State Checkbook
2019	Comptroller - State Fiscal	City Of Houston Controllers Office	$600,462,438.61	Texas State Checkbook
2020	Health And Human Services Commission	Community First Health Plans Inc	$600,137,294.72	Texas State Checkbook
2020	Texas Department Of Criminal Justice	University Of Tx Med Branch At Galveston	$598,097,804.29	Texas State Checkbook
2023	Texas Education Agency	Cypress-Fairbanks Isd	$596,407,126.26	Texas State Checkbook
2021	Texas State Checkbook	Caremark	$593,750,004.21	Texas State Checkbook
2018	Comptroller - State Fiscal	Dallas Area Rapid Transit	$589,974,531.80	Texas State Checkbook
2022	Texas State Checkbook	Cede & Company	$589,921,198.23	Texas State Checkbook
2020	Department Of Family And Protective Services	Confidential	$588,604,877.34	Texas State Checkbook
2022	Texas State Checkbook	Williams Brothers Construction Co Inc	$587,437,862.11	Texas State Checkbook
2018	Teacher Retirement System Of Texas	Caremark	$585,782,726.77	Texas State Checkbook
2017	Department Of Family And Protective Services	Confidential	$584,399,423.51	Texas State Checkbook
2018	Department Of Family And Protective Services	Confidential	$579,225,532.60	Texas State Checkbook
2023	Texas Department Of Transportation	W W Webber Llc	$577,932,660.93	Texas State Checkbook
2018	Health And Human Services Commission	Harris County Hospital District	$577,390,838.81	Texas State Checkbook
2020	Texas Education Agency	Idea Academy Inc	$573,335,471.58	Texas State Checkbook
2021	Texas State Checkbook	University Of Tx Med Branch At Galveston	$573,186,258.23	Texas State Checkbook
2022	Texas State Checkbook	University Of Tx Med Branch At Galveston	$572,151,963.92	Texas State Checkbook
2023	Texas Department Of Transportation	Confidential	$571,273,233.15	Texas State Checkbook
2017	Texas Department Of Transportation	Williams Brothers Construction Co Inc	$570,044,902.30	Texas State Checkbook
2020	University Of Texas At Austin	Confidential	$567,463,930.58	Texas State Checkbook
2023	Texas Department Of Transportation	Williams Brothers Construction Co Inc	$565,744,842.59	Texas State Checkbook
2019	Texas Department Of Criminal Justice	University Of Tx Med Branch At Galveston	$564,402,580.65	Texas State Checkbook
2022	Texas State Checkbook	Mcna Insurance Company	$562,340,064.46	Texas State Checkbook
2020	Texas Department Of Transportation	W W Webber Llc	$561,505,759.21	Texas State Checkbook
2018	Health And Human Services Commission	Mcna Insurance Company	$559,114,614.74	Texas State Checkbook
2022	Texas State Checkbook	W W Webber Llc	$557,792,106.01	Texas State Checkbook
2019	Texas Education Agency	Houston Isd	$554,861,323.54	Texas State Checkbook
2023	Health And Human Services Commission	Sha Llc	$553,277,096.18	Texas State Checkbook
2019	Department Of Family And Protective Services	Confidential	$552,742,632.35	Texas State Checkbook
2021	Texas State Checkbook	Mcna Insurance Company	$551,250,926.41	Texas State Checkbook
2018	Health And Human Services Commission	Cook Children's Health Plan	$546,549,939.49	Texas State Checkbook
2023	Health And Human Services Commission	Mcna Insurance Company	$545,283,236.52	Texas State Checkbook
2023	Texas A&M University (Main University)	Confidential	$543,630,076.51	Texas State Checkbook
2022	Texas State Checkbook	Tarrant County Hospital District	$543,014,844.22	Texas State Checkbook
2023	Attorney General	Confidential	$541,182,096.37	Texas State Checkbook
2022	Texas State Checkbook	University Of Texas At Austin	$536,952,065.94	Texas State Checkbook
2023	Department Of Family And Protective Services	Confidential	$535,287,621.72	Texas State Checkbook
2022	Texas State Checkbook	Horne Llp	$534,935,809.31	Texas State Checkbook
2023	Health And Human Services Commission	Health Care Services Corporation	$534,487,329.99	Texas State Checkbook
2018	Texas Department Of Transportation	Williams Brothers Construction Co Inc	$534,385,697.45	Texas State Checkbook
2021	Texas State Checkbook	Cypress-Fairbanks Isd	$528,915,350.83	Texas State Checkbook
2021	Texas State Checkbook	Employees Retirement System State Contr	$528,763,887.09	Texas State Checkbook
2022	Texas State Checkbook	Employees Retirement System State Contr	$528,687,653.78	Texas State Checkbook
2022	Texas State Checkbook	Fort Worth I S D	$526,850,803.82	Texas State Checkbook
2020	Health And Human Services Commission	Tarrant County Hospital District	$525,633,461.90	Texas State Checkbook
2021	Texas State Checkbook	Employees Retirement System	$525,079,006.65	Texas State Checkbook
2022	Texas State Checkbook	Employees Retirement System	$524,182,606.53	Texas State Checkbook
2022	Texas State Checkbook	Cypress-Fairbanks Isd	$523,669,816.22	Texas State Checkbook
2017	Health And Human Services Commission	Evercare Of Texas Llc	$523,582,876.29	Texas State Checkbook
2018	Texas Department Of Criminal Justice	University Of Tx Med Branch At Galveston	$523,556,183.57	Texas State Checkbook
2017	Health And Human Services Commission	Confidential	$523,399,351.97	Texas State Checkbook
2020	Health And Human Services Commission	Mcna Insurance Company	$522,173,105.86	Texas State Checkbook
2020	Texas A&M University (Main University)	Confidential	$521,586,924.41	Texas State Checkbook
2017	Health And Human Services Commission	Parkland Community Health Plan Inc A Prog Dallas C	$521,276,540.86	Texas State Checkbook
2022	Texas State Checkbook	Texas Dept Of Information Resources	$519,752,579.76	Texas State Checkbook
2023	Texas Education Agency	Harmony Public Schools	$519,017,020.32	Texas State Checkbook
2019	Comptroller - State Fiscal	Dallas Area Rapid Transit	$518,807,804.72	Texas State Checkbook
2021	Texas State Checkbook	Houston Isd	$517,627,311.41	Texas State Checkbook
2019	Health And Human Services Commission	Cook Children's Health Plan	$517,388,985.58	Texas State Checkbook