Year	Employer	Vendor Name	Amount	Source
2023	Health And Human Services Commission	Scott And White Health Plan	$284,562,349.12	Texas State Checkbook
2020	Health And Human Services Commission	Federal Hospital Insurance Trust Fund - Part A	$284,448,748.00	Texas State Checkbook
2021	Texas State Checkbook	Capital Metropolitan Transportation Authority	$284,055,719.75	Texas State Checkbook
2022	Texas State Checkbook	Maxim Healthcare Services Inc	$283,638,033.57	Texas State Checkbook
2018	Texas Education Agency	Killeen Isd	$283,156,060.94	Texas State Checkbook
2019	Comptroller - State Fiscal	City Of Dallas	$282,564,321.21	Texas State Checkbook
2020	Health And Human Services Commission	Children's Medical Center Health Plan	$282,444,291.61	Texas State Checkbook
2023	University Of Texas Health Science Center At Houston	Ut Health Science Center At Houston	$282,188,806.57	Texas State Checkbook
2021	Texas State Checkbook	Scott And White Health Plan	$281,906,167.83	Texas State Checkbook
2023	Texas Education Agency	Laredo I S D	$281,428,079.73	Texas State Checkbook
2017	Texas Department Of Transportation	Agl Constructors	$281,378,933.94	Texas State Checkbook
2018	Texas Department Of Criminal Justice	Employees Group Insurance Fund State Contr	$281,014,817.50	Texas State Checkbook
2021	Texas State Checkbook	Accenture State Healthcare Services Llc	$280,624,655.61	Texas State Checkbook
2017	Health And Human Services Commission	Accenture State Healthcare Services Llc	$280,440,499.42	Texas State Checkbook
2019	Texas Education Agency	Dallas Isd	$280,278,234.28	Texas State Checkbook
2018	Teacher Retirement System Of Texas	Express Scripts Inc	$279,357,670.22	Texas State Checkbook
2023	Health And Human Services Commission	Maximus Inc	$278,472,820.93	Texas State Checkbook
2018	Texas Education Agency	Arlington Isd	$277,468,388.13	Texas State Checkbook
2022	Texas State Checkbook	Health Care Services Corporation	$276,995,522.04	Texas State Checkbook
2022	Texas State Checkbook	Uplift Education	$276,912,192.37	Texas State Checkbook
2022	Texas State Checkbook	Blue Cross Blue Shield Of Texas	$276,859,574.56	Texas State Checkbook
2017	Teacher Retirement System Of Texas	Caremark Inc	$276,845,215.55	Texas State Checkbook
2021	Texas State Checkbook	Klein Independent School District	$276,292,156.82	Texas State Checkbook
2018	Texas Education Agency	Edinburg Cisd	$275,430,305.28	Texas State Checkbook
2020	Health And Human Services Commission	Employees Group Insurance Fund State Contr	$275,109,288.50	Texas State Checkbook
2020	Health And Human Services Commission	The Harris Center For Mental Health And Idd	$274,771,692.93	Texas State Checkbook
2017	Texas Education Agency	Arlington Isd	$274,537,280.78	Texas State Checkbook
2018	Health And Human Services Commission	Evercare Of Texas Llc	$273,541,501.95	Texas State Checkbook
2023	University Of Texas Medical Branch At Galveston	Confidential	$273,194,690.33	Texas State Checkbook
2017	Texas Water Development Board	Bank Of New York Mellon	$272,955,176.30	Texas State Checkbook
2021	Texas State Checkbook	Zachry Construction Corporation	$271,879,896.73	Texas State Checkbook
2021	Texas State Checkbook	University Of Texas M D Anderson Cancer Center	$271,735,482.15	Texas State Checkbook
2022	Texas State Checkbook	Texas Tech University Health Sciences Center	$271,349,868.02	Texas State Checkbook
2017	Texas Education Agency	Killeen Isd	$270,264,636.28	Texas State Checkbook
2022	Texas State Checkbook	Univ Of Houston	$269,566,938.48	Texas State Checkbook
2020	University Of Texas Medical Branch At Galveston	Confidential	$268,699,366.74	Texas State Checkbook
2019	Texas Education Agency	Garland Isd	$268,459,451.04	Texas State Checkbook
2021	Texas State Checkbook	Texas Tech University Health Sciences Center	$268,279,676.41	Texas State Checkbook
2020	Texas Department Of Criminal Justice	Employees Group Insurance Fund State Contr	$268,226,372.51	Texas State Checkbook
2020	Health And Human Services Commission	Sha Llc	$268,191,664.29	Texas State Checkbook
2018	University Of Texas Medical Branch At Galveston	Confidential	$267,894,932.11	Texas State Checkbook
2023	Texas Department Of Transportation	Texas Materials Group Inc	$267,878,021.61	Texas State Checkbook
2017	Texas Education Agency	Idea Academy Inc	$267,221,850.38	Texas State Checkbook
2022	Texas State Checkbook	Scott And White Health Plan	$266,414,221.66	Texas State Checkbook
2021	Texas State Checkbook	Arlington Isd	$266,282,294.78	Texas State Checkbook
2018	Health And Human Services Commission	Sha Llc	$265,628,031.50	Texas State Checkbook
2023	Texas Education Agency	International American Education Federation Inc	$265,403,948.84	Texas State Checkbook
2023	Texas Education Agency	Spring Isd	$265,220,334.72	Texas State Checkbook
2020	Comptroller-State Fiscal	Capital Metropolitan Transportation Authority	$264,935,382.73	Texas State Checkbook
2018	Health And Human Services Commission	Children's Medical Center Health Plan	$264,123,749.19	Texas State Checkbook
2019	Health And Human Services Commission	Blue Cross Blue Shield Of Texas	$263,668,158.86	Texas State Checkbook
2018	Health And Human Services Commission	Employees Group Insurance Fund State Contr	$263,391,900.29	Texas State Checkbook
2018	Texas Education Agency	Katy Isd	$262,652,891.20	Texas State Checkbook
2019	Health And Human Services Commission	Tarrant County Hospital District	$262,435,161.36	Texas State Checkbook
2022	Texas State Checkbook	City Of Fort Worth	$262,342,173.02	Texas State Checkbook
2021	Texas State Checkbook	United Isd	$261,891,451.03	Texas State Checkbook
2021	Texas State Checkbook	Univ Of Houston	$261,765,283.16	Texas State Checkbook
2022	Texas State Checkbook	Accenture State Healthcare Services Llc	$260,659,376.91	Texas State Checkbook
2019	Texas Education Agency	Katy Isd	$259,262,585.21	Texas State Checkbook
2022	Texas State Checkbook	Multi State Lottery Assoc	$258,635,509.67	Texas State Checkbook
2023	Texas Education Agency	United Isd	$258,516,439.78	Texas State Checkbook
2021	Texas State Checkbook	City Of Houston	$258,378,145.80	Texas State Checkbook
2020	Texas Education Agency	Laredo I S D	$258,054,184.50	Texas State Checkbook
2023	Texas A&M University System	Texas A & M Univ System Administration	$257,771,524.74	Texas State Checkbook
2019	Texas Education Agency	San Antonio Isd	$257,662,251.33	Texas State Checkbook
2022	Texas State Checkbook	Texas Tech University	$256,837,805.45	Texas State Checkbook
2018	Texas Department Of Transportation	Wells Fargo Bank Na	$256,412,124.23	Texas State Checkbook
2020	Texas Education Agency	Arlington Isd	$255,915,563.63	Texas State Checkbook
2020	Texas Education Agency	Klein Independent School District	$255,380,396.66	Texas State Checkbook
2019	Texas Department Of Criminal Justice	Employees Group Insurance Fund State Contr	$255,101,505.11	Texas State Checkbook
2020	Texas Lottery Commission	Texas Treasury Safekeeping Trust Company	$254,879,836.47	Texas State Checkbook
2018	University Of Houston	Univ Of Houston	$253,984,101.65	Texas State Checkbook
2021	Texas State Checkbook	J T Vaughn Construction Llc	$253,677,841.58	Texas State Checkbook
2022	Texas State Checkbook	Amarillo I S D	$253,617,920.50	Texas State Checkbook
2020	University Of Houston	Univ Of Houston	$253,569,927.80	Texas State Checkbook
2017	Health And Human Services Commission	Blue Cross Blue Shield Of Texas	$253,450,548.85	Texas State Checkbook
2019	Health And Human Services Commission	Sha Llc	$253,402,108.27	Texas State Checkbook
2020	General Land Office	Cede & Company	$253,269,065.94	Texas State Checkbook
2023	Comptroller-State Fiscal	City Of Fort Worth	$253,115,207.83	Texas State Checkbook
2022	Texas State Checkbook	Conroe Isd	$252,868,630.50	Texas State Checkbook
2018	Health And Human Services Commission	Unitedhealthcare Community Plan Of Texas Llc	$252,735,091.02	Texas State Checkbook
2020	Comptroller-State Fiscal	City Of Austin	$251,304,233.57	Texas State Checkbook
2022	Texas State Checkbook	University Of Texas M D Anderson Cancer Center	$251,293,972.19	Texas State Checkbook
2017	Health And Human Services Commission	The Harris Center For Mental Health And Idd	$250,243,603.54	Texas State Checkbook
2023	Texas Education Agency	Amarillo I S D	$250,175,308.24	Texas State Checkbook
2018	Texas Education Agency	Fort Bend Isd	$249,071,755.52	Texas State Checkbook
2017	Texas Education Agency	Laredo I S D	$249,018,140.81	Texas State Checkbook
2023	Texas Education Agency	Conroe Isd	$248,275,699.95	Texas State Checkbook
2019	Health And Human Services Commission	Employees Group Insurance Fund State Contr	$248,086,873.25	Texas State Checkbook
2023	Health And Human Services Commission	Employees Group Insurance Fund State Contr	$247,923,932.00	Texas State Checkbook
2019	Health And Human Services Commission	Children's Medical Center Health Plan	$247,752,979.41	Texas State Checkbook
2020	Texas Education Agency	United Isd	$247,641,303.65	Texas State Checkbook
2018	Health And Human Services Commission	Federal Hospital Insurance Trust Fund - Part A	$247,596,294.00	Texas State Checkbook
2017	Comptroller - State Fiscal	Capital Metropolitan Transportation Authority	$246,776,426.66	Texas State Checkbook
2018	Texas Education Agency	United Isd	$246,207,498.55	Texas State Checkbook
2020	Texas Education Agency	Humble Isd	$245,959,744.44	Texas State Checkbook
2020	Texas Department Of Transportation	Flatiron Dragados Llc	$245,563,366.88	Texas State Checkbook
2018	Texas Workforce Commission	Houston-Galveston Area Council	$245,396,263.03	Texas State Checkbook
2022	Texas State Checkbook	Health And Human Services Commission	$245,110,218.00	Texas State Checkbook
2020	Texas Water Development Board	Bank Of New York Mellon	$244,182,297.62	Texas State Checkbook