| 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 |
$8,510,835,751.33 |
South Carolina State Checkbook |
| 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 |
| 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 |
$2,059,024,447.35 |
South Carolina State Checkbook |
| 2022 |
State Of South Carolina |
Bluecross Blueshield Of Sc |
$2,010,984,187.36 |
South Carolina State Checkbook |
| 2025 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,981,286,328.32 |
South Carolina State Checkbook |
| 2021 |
State Of South Carolina |
Bluecross Blueshield Of Sc |
$1,942,764,857.87 |
South Carolina State Checkbook |
| 2024 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,779,360,695.91 |
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 |
| 2023 |
Public Employees Benefits Auth |
Express Scripts Inc |
$1,587,737,052.22 |
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 |
| 2025 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$967,447,705.45 |
South Carolina State Checkbook |
| 2017 |
State of South Carolina |
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 |
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 |
| 2023 |
Sc Retirement Sys Trust Funds |
Employer Contributions |
$783,989,052.24 |
South Carolina State Checkbook |
| 2025 |
Public Employees Benefits Auth |
Peba - Administration |
$738,428,211.94 |
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 |
| 2024 |
Public Employees Benefits Auth |
Peba - Administration |
$687,666,995.12 |
South Carolina State Checkbook |
| 2020 |
State Of South Carolina |
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 |
| 2023 |
Public Employees Benefits Auth |
Peba - Administration |
$616,591,456.36 |
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 |
| 2025 |
Education Department |
Greenville County Treasurer |
$566,250,369.06 |
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 |
| 2023 |
Education Department |
Greenville County Treasurer |
$551,013,710.34 |
South Carolina State Checkbook |
| 2019 |
State Of South Carolina |
Peba - Administration |
$531,092,872.55 |
South Carolina State Checkbook |
| 2025 |
Social Services Dept |
Dss Case Services |
$512,270,028.02 |
South Carolina State Checkbook |
| 2021 |
State Of South Carolina |
Greenville County Treasurer |
$481,327,404.70 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Lexington Cnty Treas |
$474,087,998.02 |
South Carolina State Checkbook |
| 2020 |
State Of South Carolina |
R440-Tx Ref (Non Ind) Us Address |
$472,803,686.16 |
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 |
| 2020 |
State Of South Carolina |
Greenville County Treasurer |
$459,441,521.88 |
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 |
$439,574,779.21 |
South Carolina State Checkbook |
| 2023 |
Housing Authority |
Case Services |
$438,250,820.50 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Spartanburg Cnty Treas |
$433,770,001.20 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Spartanburg Cnty Treas |
$432,062,733.48 |
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 |
| 2024 |
Ports Authority |
Ports A:Wfargo Bank-Concntration Ac |
$411,012,683.87 |
South Carolina State Checkbook |
| 2025 |
Higher Education Comm |
Scholarships And Loans |
$403,619,997.77 |
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 |
| 2023 |
Education Department |
Richland Co Treasurer |
$396,069,441.06 |
South Carolina State Checkbook |
| 2023 |
Higher Education Comm |
Scholarships And Loans |
$394,823,946.03 |
South Carolina State Checkbook |
| 2023 |
Education Department |
Spartanburg Cnty Treas |
$393,705,929.31 |
South Carolina State Checkbook |
| 2020 |
State Of South Carolina |
Scholarships And Loans |
$393,693,865.33 |
South Carolina State Checkbook |
| 2024 |
Higher Education Comm |
Scholarships And Loans |
$393,353,996.99 |
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 |
| 2023 |
Social Services Dept |
Dss Case Services |
$376,296,566.32 |
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 |
| 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 |
| 2024 |
Education Department |
Horry County Treasurer |
$358,534,684.93 |
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 |
| 2024 |
Education Department |
York County Treasurer |
$356,121,955.67 |
South Carolina State Checkbook |
| 2019 |
State Of South Carolina |
Scholarships And Loans |
$343,940,035.65 |
South Carolina State Checkbook |
| 2025 |
Education Department |
York County Treasurer |
$342,543,016.68 |
South Carolina State Checkbook |
| 2024 |
Education Department |
Charleston Cnty Treas |
$335,478,312.30 |
South Carolina State Checkbook |
| 2021 |
State Of South Carolina |
Richland Co Treasurer |
$335,117,037.65 |
South Carolina State Checkbook |
| 2023 |
Education Department |
Horry County Treasurer |
$334,147,059.48 |
South Carolina State Checkbook |
| 2022 |
State Of South Carolina |
R440-Tx Ref (Non Ind) Us Address |
$331,772,323.81 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Horry County Treasurer |
$331,752,394.21 |
South Carolina State Checkbook |
| 2023 |
Education Department |
York County Treasurer |
$330,369,619.77 |
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 |
| 2024 |
Dept Of Rev - Aid To Sub-Div |
R440-Tx Ref (Non Ind) Us Address |
$306,809,240.64 |
South Carolina State Checkbook |
| 2025 |
Education Department |
Berkeley Co Treasurer |
$301,791,617.46 |
South Carolina State Checkbook |
| 2020 |
State Of South Carolina |
Spartanburg Cnty Treas |
$299,424,286.44 |
South Carolina State Checkbook |