Year	Employer	Vendor Name	Amount	Source
2023	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$22,449,863,114.86	Virginia State Checkbook
2022	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$18,646,322,148.46	Virginia State Checkbook
2021	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$16,219,548,467.08	Virginia State Checkbook
2020	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$13,824,514,467.01	Virginia State Checkbook
2019	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$11,342,849,914.82	Virginia State Checkbook
2018	Dept Of Med Assistance Svcs	Miscellaneous Adjustment	$9,825,496,143.13	Virginia State Checkbook
2021	Vec Ui Benefits	Virginia Employment Commission	$7,977,596,115.88	Virginia State Checkbook
2017	Department Of Medical Assistance Services	Aetna Medicaid Administrators Llc	$5,140,972,285.66	Virginia State Checkbook
2017	Department Of Medical Assistance Services	Magellan Complete Care Of Virginia Llc	$5,140,972,285.66	Virginia State Checkbook
2017	Department Of Medical Assistance Services	Optima Health Plan	$5,140,972,285.66	Virginia State Checkbook
2017	Department Of Medical Assistance Services	Virginia Premier Health Plan	$5,140,972,285.66	Virginia State Checkbook
2017	Department Of Medical Assistance Services	United Health Care Insurance Co	$5,140,972,285.66	Virginia State Checkbook
2017	Department Of Medical Assistance Services	Healthkeepers Inc	$5,140,972,285.66	Virginia State Checkbook
2020	Vec Ui Benefits	Virginia Employment Commission	$4,619,568,268.82	Virginia State Checkbook
2023	University Of Va Medical Ctr	** Detailed Data Not Yet Available **	$2,218,038,355.77	Virginia State Checkbook
2023	Admin Of Health Insurance	Anthem Health Plans Of Va Inc	$2,079,677,349.14	Virginia State Checkbook
2022	Admin Of Health Insurance	Anthem Health Plans Of Va Inc	$1,996,250,094.60	Virginia State Checkbook
2019	Admin Of Health Insurance	Anthem Health Plans Of Va Inc	$1,902,952,958.58	Virginia State Checkbook
2022	University Of Va Medical Ctr	** Detailed Data Not Yet Available **	$1,900,785,537.13	Virginia State Checkbook
2021	Admin Of Health Insurance	Anthem Health Plans Of Va Inc	$1,862,760,421.24	Virginia State Checkbook
2018	Admin Of Health Insurance	Anthem Health Plans Of Va Inc	$1,789,177,472.26	Virginia State Checkbook
2023	University Of Virginia	** Detailed Data Not Yet Available **	$1,769,175,562.09	Virginia State Checkbook
2022	Va Polytech Inst & State Univ	** Detailed Data Not Yet Available **	$1,760,829,118.00	Virginia State Checkbook
2021	University Of Va Medical Ctr	** Detailed Data Not Yet Available **	$1,751,579,124.60	Virginia State Checkbook
2022	University Of Virginia	** Detailed Data Not Yet Available **	$1,724,579,375.71	Virginia State Checkbook
2020	Admin Of Health Insurance	Anthem Health Plans Of Va Inc	$1,683,555,388.16	Virginia State Checkbook
2020	University Of Va Medical Ctr	** Detailed Data Not Yet Available **	$1,618,396,736.86	Virginia State Checkbook
2018	University Of Va Medical Ctr	** Detailed Data Not Yet Available **	$1,617,122,623.25	Virginia State Checkbook
2021	Va Polytech Inst & State Univ	** Detailed Data Not Yet Available **	$1,592,804,706.17	Virginia State Checkbook
2021	University Of Virginia	** Detailed Data Not Yet Available **	$1,554,448,171.79	Virginia State Checkbook
2020	Va Polytech Inst & State Univ	** Detailed Data Not Yet Available **	$1,523,754,655.25	Virginia State Checkbook
2023	Virginia Commonwealth Univ	** Detailed Data Not Yet Available **	$1,423,259,285.40	Virginia State Checkbook
2022	Virginia Commonwealth Univ	** Detailed Data Not Yet Available **	$1,320,121,064.38	Virginia State Checkbook
2018	Va Polytech Inst & State Univ	** Detailed Data Not Yet Available **	$1,318,641,272.67	Virginia State Checkbook
2021	Virginia Commonwealth Univ	** Detailed Data Not Yet Available **	$1,268,605,077.47	Virginia State Checkbook
2022	George Mason University	** Detailed Data Not Yet Available **	$1,228,064,800.75	Virginia State Checkbook
2018	Virginia Commonwealth Univ	** Detailed Data Not Yet Available **	$1,221,766,307.91	Virginia State Checkbook
2023	Direct Aid To Public Education	Director Of Finance Cty Of Fairfax Va	$1,219,382,925.75	Virginia State Checkbook
2023	Dss Treasury Disb Wells	Warrant Register - Boa	$1,155,086,688.33	Virginia State Checkbook
2020	George Mason University	** Detailed Data Not Yet Available **	$1,140,515,067.76	Virginia State Checkbook
2023	Va Polytech Inst & State Univ	Payroll	$1,124,045,591.46	Virginia State Checkbook
2021	George Mason University	** Detailed Data Not Yet Available **	$1,122,670,551.45	Virginia State Checkbook
2022	Vec Ui Benefits	Virginia Employment Commission	$1,107,955,592.84	Virginia State Checkbook
2022	Dss Treasury Disb Wells	Warrant Register - Boa	$1,072,956,894.89	Virginia State Checkbook
2022	Virginia Employment Commission	Virginia Employment Commission	$1,061,449,585.83	Virginia State Checkbook
2022	Direct Aid To Public Education	Director Of Finance Cty Of Fairfax Va	$1,055,293,264.80	Virginia State Checkbook
2023	Va Dept Of Transportation	Miscellaneous Adjustment	$1,024,970,629.31	Virginia State Checkbook
2022	Va Dept Of Transportation	Miscellaneous Adjustment	$1,009,233,184.25	Virginia State Checkbook
2020	Dss Treasury Disb Wells	Warrant Register - Boa	$986,522,940.73	Virginia State Checkbook
2018	University Of Virginia	Usage Cost	$940,600,959.60	Virginia State Checkbook
2021	Dss Treasury Disb Wells	Warrant Register - Boa	$937,120,444.82	Virginia State Checkbook
2021	Direct Aid To Public Education	Director Of Finance Cty Of Fairfax Va	$934,435,245.69	Virginia State Checkbook
2023	Treasury Board Wbu	The Bank Of New York Mellon	$922,370,909.90	Virginia State Checkbook
2019	Va Dept Of Transportation	Miscellaneous Adjustment	$919,422,378.57	Virginia State Checkbook
2018	Dss Treasury Disb Wells	Warrant Register - Wells Fargo	$904,616,878.40	Virginia State Checkbook
2020	University Of Virginia	Labor Cost	$903,487,862.78	Virginia State Checkbook
2020	Va Dept Of Transportation	Miscellaneous Adjustment	$877,190,749.43	Virginia State Checkbook
2023	Dmas Wire Business Unit	Commonwealth Of Va Dept Of The Treasury	$845,747,184.22	Virginia State Checkbook
2019	Dss Treasury Disb Wells	Warrant Register - Boa	$843,544,158.46	Virginia State Checkbook
2022	Treasury Board Wbu	The Bank Of New York Mellon	$828,933,370.45	Virginia State Checkbook
2020	Direct Aid To Public Education	Director Of Finance Cty Of Fairfax Va	$826,926,182.28	Virginia State Checkbook
2021	Va Dept Of Transportation	Miscellaneous Adjustment	$812,335,222.03	Virginia State Checkbook
2019	Direct Aid To Public Education	Director Of Finance Cty Of Fairfax Va	$805,697,291.33	Virginia State Checkbook
2020	Virginia Commonwealth Univ	Payroll	$785,154,155.68	Virginia State Checkbook
2021	Treasury Board Wbu	The Bank Of New York Mellon	$784,553,374.84	Virginia State Checkbook
2018	Va Dept Of Transportation	Miscellaneous Adjustment	$758,576,427.65	Virginia State Checkbook
2018	Direct Aid To Public Education	Director Of Finance Cty Of Fairfax Va	$758,471,899.38	Virginia State Checkbook
2022	Direct Aid To Public Education	Prince William County	$749,948,624.77	Virginia State Checkbook
2020	Treasury Board Wbu	The Bank Of New York Mellon	$741,731,747.77	Virginia State Checkbook
2022	Dept Of Accounts Transfer Pmts	Miscellaneous Adjustment	$734,497,840.28	Virginia State Checkbook
2023	James Madison University	** Detailed Data Not Yet Available **	$733,589,061.24	Virginia State Checkbook
2023	Direct Aid To Public Education	Prince William County	$725,750,564.65	Virginia State Checkbook
2021	Direct Aid To Public Education	Prince William County	$722,928,327.51	Virginia State Checkbook
2018	Treasury Board Wbu	The Bank Of New York Mellon	$718,237,613.05	Virginia State Checkbook
2021	Va Dept Of Transportation	Payroll	$705,823,467.69	Virginia State Checkbook
2022	Dmas Wire Business Unit	Commonwealth Of Va Dept Of The Treasury	$703,907,771.17	Virginia State Checkbook
2019	Treasury Board Wbu	The Bank Of New York Mellon	$702,522,947.65	Virginia State Checkbook
2020	Va Dept Of Transportation	Payroll	$701,799,556.02	Virginia State Checkbook
2019	Va Dept Of Transportation	Payroll	$696,181,503.63	Virginia State Checkbook
2018	Va Dept Of Transportation	Payroll	$687,740,973.50	Virginia State Checkbook
2018	University Of Virginia	Labor Cost	$674,350,977.35	Virginia State Checkbook
2022	James Madison University	** Detailed Data Not Yet Available **	$668,179,830.38	Virginia State Checkbook
2021	Va Dept Of Transportation	Hampton Roads Connector Partners Jv	$639,522,252.87	Virginia State Checkbook
2021	James Madison University	** Detailed Data Not Yet Available **	$633,464,559.25	Virginia State Checkbook
2021	Dmas Wire Business Unit	Commonwealth Of Va Dept Of The Treasury	$630,747,362.47	Virginia State Checkbook
2020	Dmas Wire Business Unit	Commonwealth Of Va Dept Of The Treasury	$624,950,326.67	Virginia State Checkbook
2020	Direct Aid To Public Education	Prince William County	$613,759,455.03	Virginia State Checkbook
2019	Dmas Wire Business Unit	Commonwealth Of Va Dept Of The Treasury	$586,737,590.26	Virginia State Checkbook
2021	Vec Tfa Trade Benefits	Virginia Employment Commission	$583,097,285.24	Virginia State Checkbook
2018	Dmas Wire Business Unit	Commonwealth Of Va Dept Of The Treasury	$576,677,448.87	Virginia State Checkbook
2018	Direct Aid To Public Education	Prince William County Va Government	$572,417,582.77	Virginia State Checkbook
2023	Direct Aid To Public Education	City Of Virginia Beach	$571,374,193.23	Virginia State Checkbook
2023	Direct Aid To Public Education	Chesterfield County	$560,465,997.95	Virginia State Checkbook
2023	Old Dominion University	** Detailed Data Not Yet Available **	$555,931,736.24	Virginia State Checkbook
2023	Va Polytech Inst & State Univ	Journal Entry	$549,513,865.56	Virginia State Checkbook
2023	Direct Aid To Public Education	County Of Loudoun	$540,610,016.74	Virginia State Checkbook
2018	Va Information Tech Agency	Northrop Grumman Systems Corporation	$533,084,054.10	Virginia State Checkbook
2022	Old Dominion University	** Detailed Data Not Yet Available **	$532,147,849.27	Virginia State Checkbook
2020	Old Dominion University	** Detailed Data Not Yet Available **	$525,916,989.08	Virginia State Checkbook
2018	George Mason University	** Detailed Data Not Yet Available **	$519,961,511.33	Virginia State Checkbook