| Year |
Employer |
Vendor Name |
Amount |
Source |
| 2025 |
Dept Of Health & Human Service |
Medicaid Case Services |
$10,998,848,664.59 |
South Carolina State Checkbook |
| 2024 |
Dept Of Health & Human Service |
Medicaid Case Services |
$10,495,835,386.24 |
South Carolina State Checkbook |
| 2023 |
Dept Of Health & Human Service |
Medicaid Case Services |
$8,552,361,912.84 |
South Carolina State Checkbook |
| 2022 |
Dept Of Health & Human Service |
Medicaid Case Services |
$6,782,975,297.48 |
South Carolina State Checkbook |
| 2020 |
Dept Of Health & Human Service |
Medicaid Case Services |
$6,694,811,429.93 |
South Carolina State Checkbook |
| 2019 |
Dept Of Health & Human Service |
Medicaid Case Services |
$6,306,036,421.32 |
South Carolina State Checkbook |
| 2021 |
Dept Of Health & Human Service |
Medicaid Case Services |
$6,205,147,191.63 |
South Carolina State Checkbook |
| 2018 |
Dept Of Health & Human Service |
Medicaid Case Services |
$6,161,675,286.89 |
South Carolina State Checkbook |
| 2017 |
Dept Of Health & Human Service |
Medicaid Case Services |
$6,050,195,616.45 |
South Carolina State Checkbook |
| 2016 |
Dept Of Health & Human Service |
Medicaid Case Services |
$5,167,067,871.54 |
South Carolina State Checkbook |
| 2025 |
Public Employees Benefits Auth |
Bluecross Blueshield Of Sc |
$2,469,274,166.97 |
South Carolina State Checkbook |
| 2024 |
Public Employees Benefits Auth |
Bluecross Blueshield Of Sc |
$2,222,130,469.66 |
South Carolina State Checkbook |
| 2023 |
Public Employees Benefits Auth |
Bluecross Blueshield Of Sc |
$2,069,889,788.02 |
South Carolina State Checkbook |
| 2025 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,981,286,328.32 |
South Carolina State Checkbook |
| 2022 |
Public Employees Benefits Auth |
Bluecross Blueshield Of Sc |
$1,825,057,806.67 |
South Carolina State Checkbook |
| 2024 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,779,360,695.91 |
South Carolina State Checkbook |
| 2021 |
Public Employees Benefits Auth |
Bluecross Blueshield Of Sc |
$1,772,648,129.51 |
South Carolina State Checkbook |
| 2019 |
Public Employees Benefits Auth |
Blue Cross Blue Shield Of Sc |
$1,641,939,988.59 |
South Carolina State Checkbook |
| 2023 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,614,402,527.67 |
South Carolina State Checkbook |
| 2018 |
Public Employees Benefits Auth |
Blue Cross Blue Shield Of Sc |
$1,607,192,512.88 |
South Carolina State Checkbook |
| 2017 |
Public Employees Benefits Auth |
Blue Cross Blue Shield Of Sc |
$1,569,262,606.74 |
South Carolina State Checkbook |
| 2016 |
Public Employees Benefits Auth |
Blue Cross Blue Shield Of Sc |
$1,498,335,297.08 |
South Carolina State Checkbook |
| 2017 |
Dept Of Rev - Aid To Sub-Div |
R440-Tx Ref(Non Ind) Us Address |
$1,384,269,956.89 |
South Carolina State Checkbook |
| 2018 |
Dept Of Rev - Aid To Sub-Div |
R440-Tx Ref(Non Ind) Us Address |
$1,332,006,497.49 |
South Carolina State Checkbook |
| 2022 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,315,608,602.29 |
South Carolina State Checkbook |
| 2020 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,296,255,161.62 |
South Carolina State Checkbook |
| 2019 |
Dept Of Rev - Aid To Sub-Div |
R44-Dorway Refunds |
$1,272,139,149.96 |
South Carolina State Checkbook |
| 2021 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,252,350,378.01 |
South Carolina State Checkbook |
| 2021 |
Dept Of Rev - Aid To Sub-Div |
R440-Tx Ref (Non Ind) Us Address |
$1,158,645,116.57 |
South Carolina State Checkbook |
| 2016 |
Dept Of Rev - Aid To Sub-Div |
R440-Tx Ref(Non Ind) Us Address |
$1,126,005,344.32 |
South Carolina State Checkbook |
| 2020 |
Public Employees Benefits Auth |
Bluecross Blueshield Of Sc |
$1,125,833,831.91 |
South Carolina State Checkbook |
| 2019 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,084,351,033.55 |
South Carolina State Checkbook |
| 2018 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,031,610,096.53 |
South Carolina State Checkbook |
| 2025 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$967,447,705.45 |
South Carolina State Checkbook |
| 2017 |
Public Employees Benefits Auth |
Express Scripts Inc |
$944,496,337.01 |
South Carolina State Checkbook |
| 2024 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$925,099,375.41 |
South Carolina State Checkbook |
| 2020 |
Dept Of Rev - Aid To Sub-Div |
R44-Dorway Refunds |
$848,183,255.02 |
South Carolina State Checkbook |
| 2023 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$791,707,184.17 |
South Carolina State Checkbook |
| 2025 |
Public Employees Benefits Auth |
Peba - Administration |
$738,428,211.94 |
South Carolina State Checkbook |
| 2020 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$693,233,153.99 |
South Carolina State Checkbook |
| 2024 |
Public Employees Benefits Auth |
Peba - Administration |
$687,666,995.12 |
South Carolina State Checkbook |
| 2022 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$681,629,172.46 |
South Carolina State Checkbook |
| 2021 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$642,957,790.50 |
South Carolina State Checkbook |
| 2020 |
Public Employees Benefits Auth |
Blue Cross Blue Shield Of Sc |
$636,415,827.97 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Greenville County Treasurer |
$628,605,710.50 |
South Carolina State Checkbook |
| 2018 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$625,327,762.44 |
South Carolina State Checkbook |
| 2023 |
Public Employees Benefits Auth |
Peba - Administration |
$625,285,523.16 |
South Carolina State Checkbook |
| 2019 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$620,286,921.56 |
South Carolina State Checkbook |
| 2023 |
Education Department |
Greenville County Treasurer |
$575,131,223.81 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Greenville County Treasurer |
$566,250,369.06 |
South Carolina State Checkbook |
| 2020 |
Public Employees Benefits Auth |
Peba - Administration |
$556,795,086.50 |
South Carolina State Checkbook |
| 2022 |
Education Department |
Greenville County Treasurer |
$547,781,181.67 |
South Carolina State Checkbook |
| 2019 |
Public Employees Benefits Auth |
Peba - Administration |
$531,079,202.94 |
South Carolina State Checkbook |
| 2022 |
Public Employees Benefits Auth |
Peba - Administration |
$520,369,381.96 |
South Carolina State Checkbook |
| 2021 |
Public Employees Benefits Auth |
Peba - Administration |
$513,077,633.46 |
South Carolina State Checkbook |
| 2025 |
Social Services Dept |
Dss Case Services |
$512,270,028.02 |
South Carolina State Checkbook |
| 2018 |
Public Employees Benefits Auth |
Peba - Administration |
$479,437,174.14 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Lexington Cnty Treas |
$474,087,998.02 |
South Carolina State Checkbook |
| 2020 |
Dept Of Rev - Aid To Sub-Div |
R440-Tx Ref (Non Ind) Us Address |
$472,803,686.16 |
South Carolina State Checkbook |
| 2017 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$469,302,899.24 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Lexington Cnty Treas |
$467,479,928.03 |
South Carolina State Checkbook |
| 2024 |
Social Services Dept |
Dss Case Services |
$465,231,589.17 |
South Carolina State Checkbook |
| 2017 |
Public Employees Benefits Auth |
Peba - Administration |
$453,986,126.72 |
South Carolina State Checkbook |
| 2016 |
Public Employees Benefits Auth |
Catamaran Pbm Of Illinois Inc |
$452,648,282.99 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Richland Co Treasurer |
$444,711,661.94 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Richland Co Treasurer |
$441,674,915.53 |
South Carolina State Checkbook |
| 2023 |
Education Department |
Lexington Cnty Treas |
$440,387,972.04 |
South Carolina State Checkbook |
| 2018 |
Ports Authority |
Ports A:Wfargo Bank-Concntration Ac |
$436,870,992.50 |
South Carolina State Checkbook |
| 2016 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$435,247,304.37 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Spartanburg Cnty Treas |
$433,770,001.20 |
South Carolina State Checkbook |
| 2023 |
Housing Authority |
Case Services |
$432,843,261.80 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Spartanburg Cnty Treas |
$432,062,733.48 |
South Carolina State Checkbook |
| 2016 |
Public Employees Benefits Auth |
Peba - Administration |
$430,854,694.30 |
South Carolina State Checkbook |
| 2020 |
Education Department |
Greenville County Treasurer |
$428,034,202.07 |
South Carolina State Checkbook |
| 2021 |
Education Department |
Greenville County Treasurer |
$414,757,387.34 |
South Carolina State Checkbook |
| 2024 |
Ports Authority |
Ports A:Wfargo Bank-Concntration Ac |
$411,012,683.87 |
South Carolina State Checkbook |
| 2023 |
Education Department |
Spartanburg Cnty Treas |
$405,673,058.01 |
South Carolina State Checkbook |
| 2023 |
Education Department |
Richland Co Treasurer |
$403,853,886.06 |
South Carolina State Checkbook |
| 2025 |
Higher Education Comm |
Scholarships And Loans |
$403,619,997.77 |
South Carolina State Checkbook |
| 2022 |
Education Department |
Lexington Cnty Treas |
$397,648,361.87 |
South Carolina State Checkbook |
| 2017 |
Education Department |
Greenville County Treasurer |
$396,467,189.14 |
South Carolina State Checkbook |
| 2024 |
Higher Education Comm |
Scholarships And Loans |
$393,353,996.99 |
South Carolina State Checkbook |
| 2022 |
Housing Authority |
Case Services |
$391,716,330.95 |
South Carolina State Checkbook |
| 2023 |
Social Services Dept |
Dss Case Services |
$391,148,522.55 |
South Carolina State Checkbook |
| 2016 |
Public Employees Benefits Auth |
Express Scripts Inc |
$390,778,405.24 |
South Carolina State Checkbook |
| 2023 |
Higher Education Comm |
Scholarships And Loans |
$388,878,641.90 |
South Carolina State Checkbook |
| 2018 |
Education Department |
Greenville County Treasurer |
$381,856,008.66 |
South Carolina State Checkbook |
| 2025 |
Dept Of Rev - Aid To Sub-Div |
R440-Tx Ref (Non Ind) Us Address |
$374,409,627.80 |
South Carolina State Checkbook |
| 2019 |
Education Department |
Greenville County Treasurer |
$366,854,264.22 |
South Carolina State Checkbook |
| 2016 |
Education Department |
Greenville County Treasurer |
$364,589,135.59 |
South Carolina State Checkbook |
| 2022 |
Higher Education Comm |
Scholarships And Loans |
$359,115,393.60 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Horry County Treasurer |
$358,534,684.93 |
South Carolina State Checkbook |
| 2021 |
Education Department |
Lexington Cnty Treas |
$357,227,088.07 |
South Carolina State Checkbook |
| 2024 |
Education Department |
York County Treasurer |
$356,121,955.67 |
South Carolina State Checkbook |
| 2020 |
Education Department |
Lexington Cnty Treas |
$354,487,654.90 |
South Carolina State Checkbook |
| 2020 |
Higher Education Comm |
Scholarships And Loans |
$349,152,100.86 |
South Carolina State Checkbook |
| 2022 |
Education Department |
Richland Co Treasurer |
$348,093,451.23 |
South Carolina State Checkbook |
| 2025 |
Education Department |
York County Treasurer |
$342,543,016.68 |
South Carolina State Checkbook |
| 2023 |
Education Department |
Horry County Treasurer |
$337,516,201.76 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Charleston Cnty Treas |
$335,478,312.30 |
South Carolina State Checkbook |