Year	Employer	Vendor Name	Amount	Source
2022	State Of South Carolina	Medicaid Case Services	$7,517,973,886.19	South Carolina State Checkbook
2021	State Of South Carolina	Medicaid Case Services	$6,898,066,817.56	South Carolina State Checkbook
2020	State Of South Carolina	Medicaid Case Services	$6,694,811,429.93	South Carolina State Checkbook
2019	State Of South Carolina	Medicaid Case Services	$6,306,036,421.32	South Carolina State Checkbook
2022	State Of South Carolina	Bluecross Blueshield Of Sc	$2,010,984,187.36	South Carolina State Checkbook
2021	State Of South Carolina	Bluecross Blueshield Of Sc	$1,942,764,857.87	South Carolina State Checkbook
2019	State Of South Carolina	Blue Cross Blue Shield Of Sc	$1,641,940,079.59	South Carolina State Checkbook
2018	State Of South Carolina	Blue Cross Blue Shield Of Sc	$1,607,192,513.00	South Carolina State Checkbook
2017	State of South Carolina	Blue Cross Blue Shield Of Sc	$1,569,556,133.10	South Carolina State Checkbook
2022	State Of South Carolina	Express Scripts Inc	$1,424,434,607.21	South Carolina State Checkbook
2021	State Of South Carolina	R440-Tx Ref (Non Ind) Us Address	$1,383,098,023.67	South Carolina State Checkbook
2021	State Of South Carolina	Express Scripts Inc	$1,354,999,012.12	South Carolina State Checkbook
2020	State Of South Carolina	Express Scripts Inc	$1,296,255,161.62	South Carolina State Checkbook
2019	State Of South Carolina	R44-Dorway Refunds	$1,272,139,149.96	South Carolina State Checkbook
2020	State Of South Carolina	Bluecross Blueshield Of Sc	$1,154,791,141.33	South Carolina State Checkbook
2019	State Of South Carolina	Express Scripts Inc	$1,084,351,033.55	South Carolina State Checkbook
2018	State Of South Carolina	Express Scripts Inc	$1,031,610,097.00	South Carolina State Checkbook
2017	State of South Carolina	Express Scripts Inc	$944,496,337.01	South Carolina State Checkbook
2020	State Of South Carolina	R44-Dorway Refunds	$848,183,255.02	South Carolina State Checkbook
2022	State Of South Carolina	Employer Contributions	$819,239,994.54	South Carolina State Checkbook
2020	State Of South Carolina	Employer Contributions	$799,361,520.92	South Carolina State Checkbook
2021	State Of South Carolina	Employer Contributions	$789,746,481.10	South Carolina State Checkbook
2019	State Of South Carolina	Employer Contributions	$716,875,952.58	South Carolina State Checkbook
2022	State Of South Carolina	Case Services	$698,507,441.76	South Carolina State Checkbook
2020	State Of South Carolina	Blue Cross Blue Shield Of Sc	$636,415,827.97	South Carolina State Checkbook
2022	State Of South Carolina	Greenville County Treasurer	$614,592,288.56	South Carolina State Checkbook
2022	State Of South Carolina	Peba - Administration	$567,576,683.27	South Carolina State Checkbook
2021	State Of South Carolina	Peba - Administration	$559,518,720.55	South Carolina State Checkbook
2020	State Of South Carolina	Peba - Administration	$556,799,025.00	South Carolina State Checkbook
2019	State Of South Carolina	Peba - Administration	$531,092,872.55	South Carolina State Checkbook
2021	State Of South Carolina	Greenville County Treasurer	$481,327,404.70	South Carolina State Checkbook
2020	State Of South Carolina	R440-Tx Ref (Non Ind) Us Address	$472,803,686.16	South Carolina State Checkbook
2020	State Of South Carolina	Greenville County Treasurer	$459,441,521.88	South Carolina State Checkbook
2022	State Of South Carolina	Lexington Cnty Treas	$427,745,368.23	South Carolina State Checkbook
2021	State Of South Carolina	Case Services	$424,386,009.69	South Carolina State Checkbook
2020	State Of South Carolina	Case Services	$419,877,434.41	South Carolina State Checkbook
2022	State Of South Carolina	Scholarships And Loans	$416,023,970.66	South Carolina State Checkbook
2022	State Of South Carolina	York County Treasurer	$412,716,469.26	South Carolina State Checkbook
2019	State Of South Carolina	Case Services	$400,019,839.21	South Carolina State Checkbook
2021	State Of South Carolina	Scholarships And Loans	$398,307,427.74	South Carolina State Checkbook
2020	State Of South Carolina	Scholarships And Loans	$393,693,865.33	South Carolina State Checkbook
2021	State Of South Carolina	Lexington Cnty Treas	$393,299,947.46	South Carolina State Checkbook
2019	State Of South Carolina	Greenville County Treasurer	$391,640,071.08	South Carolina State Checkbook
2022	State Of South Carolina	Richland Co Treasurer	$373,533,919.70	South Carolina State Checkbook
2022	State Of South Carolina	Horry County Treasurer	$372,002,971.85	South Carolina State Checkbook
2022	State Of South Carolina	Spartanburg Cnty Treas	$357,891,017.17	South Carolina State Checkbook
2020	State Of South Carolina	Lexington Cnty Treas	$357,208,025.89	South Carolina State Checkbook
2019	State Of South Carolina	Scholarships And Loans	$343,940,035.65	South Carolina State Checkbook
2021	State Of South Carolina	Richland Co Treasurer	$335,117,037.65	South Carolina State Checkbook
2022	State Of South Carolina	R440-Tx Ref (Non Ind) Us Address	$331,772,323.81	South Carolina State Checkbook
2021	State Of South Carolina	Spartanburg Cnty Treas	$319,081,408.33	South Carolina State Checkbook
2022	State Of South Carolina	Dss Case Services	$318,737,626.27	South Carolina State Checkbook
2019	State Of South Carolina	Lexington Cnty Treas	$314,219,032.03	South Carolina State Checkbook
2020	State Of South Carolina	Richland Co Treasurer	$311,224,951.08	South Carolina State Checkbook
2020	State Of South Carolina	Spartanburg Cnty Treas	$299,424,286.44	South Carolina State Checkbook
2022	State Of South Carolina	Medical And Health Service	$299,156,870.19	South Carolina State Checkbook
2021	State Of South Carolina	York County Treasurer	$297,867,978.11	South Carolina State Checkbook
2019	State Of South Carolina	Dss Case Services	$291,344,024.79	South Carolina State Checkbook
2019	State Of South Carolina	Richland Co Treasurer	$288,534,858.81	South Carolina State Checkbook
2021	State Of South Carolina	Medical And Health Service	$286,819,969.47	South Carolina State Checkbook
2020	State Of South Carolina	York County Treasurer	$276,577,503.23	South Carolina State Checkbook
2020	State Of South Carolina	Dss Case Services	$275,416,119.76	South Carolina State Checkbook
2021	State Of South Carolina	Dss Case Services	$270,003,807.61	South Carolina State Checkbook
2021	State Of South Carolina	Horry County Treasurer	$265,752,514.79	South Carolina State Checkbook
2019	State Of South Carolina	Spartanburg Cnty Treas	$265,705,620.55	South Carolina State Checkbook
2022	State Of South Carolina	Charleston Cnty Treas	$262,005,283.42	South Carolina State Checkbook
2022	State Of South Carolina	Dorchester County Treasurer	$254,852,650.81	South Carolina State Checkbook
2022	State Of South Carolina	Florence County Treasurer	$243,285,040.33	South Carolina State Checkbook
2020	State Of South Carolina	Horry County Treasurer	$241,301,085.19	South Carolina State Checkbook
2022	State Of South Carolina	Berkeley Co Treasurer	$240,673,351.75	South Carolina State Checkbook
2022	State Of South Carolina	Anderson Co Treasurer	$239,381,625.24	South Carolina State Checkbook
2019	State Of South Carolina	York County Treasurer	$233,761,421.77	South Carolina State Checkbook
2021	State Of South Carolina	Charleston Cnty Treas	$219,815,440.75	South Carolina State Checkbook
2021	State Of South Carolina	Berkeley Co Treasurer	$217,466,988.46	South Carolina State Checkbook
2022	State Of South Carolina	Charter Institute At Erskine	$215,190,948.74	South Carolina State Checkbook
2020	State Of South Carolina	Charleston Cnty Treas	$212,379,141.55	South Carolina State Checkbook
2021	State Of South Carolina	Anderson Co Treasurer	$211,461,022.55	South Carolina State Checkbook
2019	State Of South Carolina	Horry County Treasurer	$205,981,928.07	South Carolina State Checkbook
2020	State Of South Carolina	Berkeley Co Treasurer	$205,019,258.19	South Carolina State Checkbook
2020	State Of South Carolina	Anderson Co Treasurer	$204,825,086.36	South Carolina State Checkbook
2021	State Of South Carolina	Charter Institute At Erskine	$202,163,342.30	South Carolina State Checkbook
2020	State Of South Carolina	South Carolina Public Charter	$199,407,011.36	South Carolina State Checkbook
2022	State Of South Carolina	South Carolina Public Charter	$191,627,725.63	South Carolina State Checkbook
2021	State Of South Carolina	Dorchester County Treasurer	$181,886,269.92	South Carolina State Checkbook
2019	State Of South Carolina	Berkeley Co Treasurer	$180,150,296.66	South Carolina State Checkbook
2019	State Of South Carolina	Anderson Co Treasurer	$177,800,683.00	South Carolina State Checkbook
2019	State Of South Carolina	Charleston Cnty Treas	$175,151,986.91	South Carolina State Checkbook
2020	State Of South Carolina	Dorchester County Treasurer	$173,941,448.81	South Carolina State Checkbook
2021	State Of South Carolina	Florence County Treasurer	$173,162,328.22	South Carolina State Checkbook
2019	State Of South Carolina	South Carolina Public Charter	$170,351,420.13	South Carolina State Checkbook
2022	State Of South Carolina	Aiken Co Treasurer	$166,879,547.51	South Carolina State Checkbook
2021	State Of South Carolina	South Carolina Public Charter	$163,379,213.36	South Carolina State Checkbook
2020	State Of South Carolina	Florence County Treasurer	$159,327,005.01	South Carolina State Checkbook
2019	State Of South Carolina	Dorchester County Treasurer	$153,363,687.23	South Carolina State Checkbook
2021	State Of South Carolina	Aiken Co Treasurer	$152,399,233.65	South Carolina State Checkbook
2022	State Of South Carolina	Indemnity Awards	$148,471,884.75	South Carolina State Checkbook
2019	State Of South Carolina	Medical And Health Service	$145,762,270.46	South Carolina State Checkbook
2019	State Of South Carolina	Ports A:Wfargo Bank-Concntration Ac	$143,746,314.47	South Carolina State Checkbook
2020	State Of South Carolina	Aiken Co Treasurer	$143,144,653.61	South Carolina State Checkbook
2020	State Of South Carolina	Medical And Health Service	$142,903,574.28	South Carolina State Checkbook