Year	Employer	Vendor Name	Amount	Source
2020	Department Of Health And Human Services	Benefit Recipient	$2,703,274,617.00	Department Of Health And Human Services
2022	Office Of The State Treasurer	Pension And Benefit Claimant	$1,381,473,502.00	Office Of The State Treasurer
2021	Office Of The State Treasurer	Pension And Benefit Claimant	$1,225,536,402.53	Office Of The State Treasurer
2020	Office Of The State Treasurer	Pension And Benefit Claimant	$1,103,051,118.00	Office Of The State Treasurer
2022	Department Of Health And Human Services	Benefit Recipient	$1,022,359,698.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Benefit Recipient	$944,594,069.30	Department Of Health And Human Services
2022	Department Of Public Instruction	Non-Trade Vendor Payments	$892,938,714.00	Department Of Public Instruction
2022	Department Of Health And Human Services	Benefit Recipient	$834,345,312.00	Department Of Health And Human Services
2020	Department Of Public Instruction	Non-Trade Vendor Payments	$532,028,116.20	Department Of Public Instruction
2021	Department Of Health And Human Services	Benefit Recipient	$493,214,669.19	Department Of Health And Human Services
2020	Department Of Health And Human Services	Benefit Recipient	$414,550,356.00	Department Of Health And Human Services
2022	Department Of Health And Human Services	Benefit Recipient	$324,016,501.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$270,471,758.82	Department Of Health And Human Services
2020	Department Of Health And Human Services	Benefit Recipient	$266,056,575.50	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$244,264,901.00	Department Of Health And Human Services
2020	Office Of The State Treasurer	United Healthcare Insurance Co	$216,004,053.60	Office Of The State Treasurer
2021	Department Of Health And Human Services	Benefit Recipient	$188,232,000.00	Department Of Health And Human Services
2022	Department Of Health And Human Services	Logistics Health Incorporated	$173,180,306.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Benefit Recipient	$166,835,122.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$159,581,353.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Benefit Recipient	$150,713,594.30	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$150,110,415.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Benefit Recipient	$113,578,695.80	Department Of Health And Human Services
2021	Office Of The State Treasurer	Blue Cross Blue Shield Of Nc	$113,015,168.14	Office Of The State Treasurer
2022	Department Of Public Safety	Pgba	$106,044,373.00	Department Of Public Safety
2022	Department Of Health And Human Services	Ernst & Young Llp	$102,237,205.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$100,673,254.00	Department Of Health And Human Services
2022	Department Of Health And Human Services	Benefit Recipient	$100,589,653.00	Department Of Health And Human Services
2022	Office Of The State Treasurer	Blue Cross Blue Shield Of Nc	$100,042,528.00	Office Of The State Treasurer
2020	Office Of The State Treasurer	Blue Cross Blue Shield Of Nc	$99,083,546.18	Office Of The State Treasurer
2022	Department Of Health And Human Services	Community Care Of Nc	$93,696,475.00	Department Of Health And Human Services
2022	Department Of Health And Human Services	Csra State And Local	$92,387,870.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$90,208,692.00	Department Of Health And Human Services
2021	Office Of The State Treasurer	United Healthcare Insurance Co	$90,007,874.95	Office Of The State Treasurer
2021	Department Of Health And Human Services	Benefit Recipient	$89,825,998.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$79,366,631.00	Department Of Health And Human Services
2020	Judicial Branch	Court Related Services	$75,941,678.17	Judicial Branch
2022	Office Of The State Treasurer	Pension And Benefit Claimant	$75,885,691.00	Office Of The State Treasurer
2020	Department Of Health And Human Services	Cardinal Innovations	$75,703,184.00	Department Of Health And Human Services
2022	Indigent Defense Services	Court Related Services	$74,447,725.00	Indigent Defense Services
2021	Department Of Health And Human Services	Benefit Recipient	$74,324,408.77	Department Of Health And Human Services
2020	Office Of The State Treasurer	Pension And Benefit Claimant	$70,445,646.08	Office Of The State Treasurer
2021	Department Of Health And Human Services	Benefit Recipient	$70,331,768.00	Department Of Health And Human Services
2020	Department Of Public Safety	Pgba	$69,977,203.18	Department Of Public Safety
2021	Department Of Health And Human Services	Cardinal Innovations	$69,861,963.81	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$66,799,935.45	Department Of Health And Human Services
2021	Department Of Public Instruction	Banc Of America Public Capital	$66,174,678.61	Department Of Public Instruction
2020	Department Of Health And Human Services	Benefit Recipient	$65,638,873.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$62,635,857.00	Department Of Health And Human Services
2022	Department Of Health And Human Services	Alliance Behavioral Healthcare	$61,891,966.00	Department Of Health And Human Services
2021	Office Of The State Treasurer	Pension And Benefit Claimant	$60,782,677.24	Office Of The State Treasurer
2021	Department Of Health And Human Services	Benefit Recipient	$60,518,655.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$59,323,854.70	Department Of Health And Human Services
2020	Department Of Health And Human Services	Csra State And Local	$57,917,657.54	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$57,209,627.00	Department Of Health And Human Services
2022	Department Of Public Instruction	Banc Of America Public Capital	$55,084,188.00	Department Of Public Instruction
2022	Department Of Health And Human Services	Accenture	$52,966,970.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Benefit Recipient	$52,653,550.64	Department Of Health And Human Services
2021	Department Of Public Safety	Pgba	$51,492,928.71	Department Of Public Safety
2021	Department Of Health And Human Services	Benefit Recipient	$51,164,747.82	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$49,345,367.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$48,901,585.00	Department Of Health And Human Services
2020	Department Of Public Safety	Cardinal Health 110 Llc	$48,687,668.33	Department Of Public Safety
2021	Department Of Health And Human Services	Community Care Of North Caroli	$48,618,125.11	Department Of Health And Human Services
2022	Department Of Health And Human Services	Benefit Recipient	$48,436,567.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$48,056,664.48	Department Of Health And Human Services
2020	Department Of Public Instruction	Banc Of America Public And	$47,748,482.47	Department Of Public Instruction
2021	Department Of Health And Human Services	Trillium Health Resources	$47,715,994.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$47,301,276.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$46,852,994.00	Department Of Health And Human Services
2021	Department Of Military And Veterans Affairs	Pruitthealth Veteran Services	$46,693,651.86	Department Of Military And Veterans Affairs
2020	Department Of Military And Veterans Affairs	Pruitthealth Veteran Services	$46,502,281.88	Department Of Military And Veterans Affairs
2022	Department Of Health And Human Services	Benefit Recipient	$46,128,785.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$45,535,714.90	Department Of Health And Human Services
2022	Department Of Health And Human Services	Partners Behavioral Health Mgm	$45,438,058.00	Department Of Health And Human Services
2022	Department Of Health And Human Services	Ottendorf Laboratories	$45,366,899.00	Department Of Health And Human Services
2021	Department Of Public Safety	Cardinal Health 110 Llc	$43,679,653.98	Department Of Public Safety
2021	Department Of Environmental Quality	City Of Raleigh	$42,620,963.00	Department Of Environmental Quality
2020	Department Of Commerce	Non-Trade Vendor Payments	$42,469,969.00	Department Of Commerce
2021	Department Of Health And Human Services	Benefit Recipient	$42,377,517.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Vaya Health	$42,002,742.00	Department Of Health And Human Services
2020	Department Of Agriculture And Consumer Services	Je Dunn Ta Loving	$41,964,700.37	Department Of Agriculture And Consumer Services
2021	Department Of Health And Human Services	Benefit Recipient	$41,840,840.00	Department Of Health And Human Services
2022	Department Of Public Safety	Cardinal Health 110 Llc	$40,762,226.00	Department Of Public Safety
2021	Department Of Health And Human Services	Csra State And Local	$39,040,886.49	Department Of Health And Human Services
2021	Department Of Health And Human Services	Benefit Recipient	$38,950,319.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Alliance Behavioral Healthcare	$38,173,191.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Vaya Health	$37,232,518.00	Department Of Health And Human Services
2022	Department Of Health And Human Services	Nc Community Health Center Association	$36,804,114.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Trillium Health Resources	$36,386,058.00	Department Of Health And Human Services
2020	Department Of Environmental Quality	City Of Charlotte	$35,286,487.00	Department Of Environmental Quality
2021	Department Of Health And Human Services	Benefit Recipient	$35,107,364.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Alliance Behavioral Healthcare	$34,825,854.00	Department Of Health And Human Services
2022	Office Of The State Treasurer	Pension And Benefit Claimant	$34,537,493.00	Office Of The State Treasurer
2020	Department Of Insurance	Nc Association Of Insurance	$33,990,702.00	Department Of Insurance
2022	Department Of Health And Human Services	Computer Aid, Inc. (Cai)	$33,771,722.00	Department Of Health And Human Services
2021	Department Of Health And Human Services	Archer Western Contractors Llc	$33,093,721.72	Department Of Health And Human Services
2020	Office Of The State Treasurer	Pension And Benefit Claimant	$32,939,206.04	Office Of The State Treasurer
2022	Department Of Health And Human Services	Cardinal Innovations	$32,784,222.00	Department Of Health And Human Services
2020	Department Of Health And Human Services	Computer Aid, Inc. (cai)	$32,566,681.47	Department Of Health And Human Services