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All Other Miscellaneous Ambulatory Health Care Services

NAICS 621999 · Federal Contracts & Awards

USAspending.gov tags $131,986,127.86 to All Other Miscellaneous Ambulatory Health Care Services (NAICS 621999) in fiscal year 2026. That yearlyTrend amount is 4.5% of the industry's $2,914,901,770.17 extract-wide total. The pair is a residual ambulatory-care code plus FY2026, not a clinic census and not cash already paid. 1,426 is the industry-extract award-record count, not a FY2026 provider tally. FY figures can be incomplete for the current year.

Key figures

  • USAspending records $131,986,127.86 in All Other Miscellaneous Ambulatory Health Care Services FY2026 obligations (NAICS 621999).
  • That cell is 4.5% of the industry's $2,914,901,770.17 extract-wide total.
  • 1,426 is the industry extract award-record count, not a FY2026 clinic census.
  • Obligations are not outlays; FEC donations do not fund this total.

The residual ambulatory-care cell in FY2026

NAICS 621999 and fiscal year 2026 share one yearlyTrend row. $131,986,127.86 is the obligation sum on that row. It is not the $2,914,901,770.17 all-year 621999 book, not every federal health dollar in FY2026, and not an outlay. A residual Census bin invites a specialty catalog; this packet does not unbundle $131,986,127.86 into named ambulatory trades or name clinics.

Physician offices, hospitals, and other health NAICS keys stay on their own ties. This page reports only the miscellaneous ambulatory residual crossed with FY2026. Place-of-performance is unpublished. Correlation with clinic-opening headlines is not causation.

FY2026 against the 621999 extract-wide book

4.5% of $2,914,901,770.17 sits on FY2026. Other fiscal-year rows for NAICS 621999 remain other cells. Open /industries/621999/ for the industry hub without the year filter and /fiscal-years/2026/ for FY2026 spending without the 621999 filter. Those parents are not addends to $131,986,127.86.

Do not treat an early-year share as a forecast of a full FY2026 residual-ambulatory budget. The source note warns that current-year figures can be incomplete. Cite obligations, not settled claims. Medicare and Medicaid CFDA pages are program joins, not this NAICS-year cell.

Full analysis: All Other Miscellaneous Ambulatory Health Care Services federal obligations in FY2026 →

Questions

How much did miscellaneous ambulatory health care obligate in FY2026?
USAspending.gov records $131,986,127.86 in All Other Miscellaneous Ambulatory Health Care Services obligations for FY2026 under NAICS 621999. That yearlyTrend total is not an outlay and not the industry's $2,914,901,770.17 extract-wide sum.
Is $131,986,127.86 the entire 621999 USAspending total?
No. NAICS 621999's extract-wide total is $2,914,901,770.17. FY2026 is 4.5% of that book. Other fiscal-year rows are separate. Do not add the industry hub into this join. 1,426 is the industry extract award-record count, not a FY2026 headcount.
Do 1,426 awards mean 1,426 FY2026 clinics?
No. 1,426 is the industry-extract award-record count, not a FY2026-only census. The packet does not name clinics, specialties, or contractors. Obligations of $131,986,127.86 are not outlays. Obligations of $131,986,127 Keep both join sides in the citation.
Does this include outlays or campaign donations?
No. $131,986,127.86 is an obligation aggregate from USAspending.gov. Outlays are unpublished. FEC tables do not fund these awards and are not this join. USAspending.gov remains the source for NAICS 621999 in FY2026. USAspending Keep both join sides in the citation.

USAspending.gov NAICS yearlyTrend by fiscal year. Obligations are not outlays. FY figures can be incomplete for the current year.

Industry ties

All data ties →

Companies in the All Other Miscellaneous Ambulatory Health Care Services industry (NAICS code 621999) have received $2.91B in federal contracts, grants, and other awards since FY2024, across 1K individual awards tracked through FY2026. The largest funding agency is Department of Health and Human Services ($1.04B). Spending is concentrated in Virginia, Maryland, Illinois and 48 other states. All figures below come from USAspending.gov award records.

Total Obligations

$2.91B

Total Awards

1K

States

51

Last Updated

Apr 22, 2026

Yearly Spending Trend

Top 50 Awards in All Other Miscellaneous Ambulatory Health Care Services

Largest individual obligations in NAICS 621999.

Download CSV
Top 50 Awards in All Other Miscellaneous Ambulatory Health Care Services
AwardRecipientAwarding AgencyProgramPlaceFYObligation
CONT_AWD_70CDCR18C00000003_7012_-NONE-_-NONE-
THE PURPOSE OF THIS CONTRACT IS FOR MEDICAL STAFFING SERVICES AT VARIOUS ICE DETENTION LOCATIONS. THIS MODIFICATION DEOBLIGATES ALL UNUSED FUNDS AND CLOSES OUT THE CONTRACT.
STG INTERNATIONAL, INC.
Virginia
Department of Homeland Security
U.S. Immigration and Customs Enforcement
—ALEXANDRIA, VA-082024$641,096,353
CONT_AWD_75D30122C13958_7523_-NONE-_-NONE-
ICATT
WALGREEN CO.
Illinois
Department of Health and Human Services
Centers for Disease Control and Prevention
—DEERFIELD, IL-102024$306,212,245
CONT_AWD_75D30122C13954_7523_-NONE-_-NONE-
ICATT
CVS PHARMACY, INC
Rhode Island
Department of Health and Human Services
Centers for Disease Control and Prevention
—WOONSOCKET, RI-012024$225,501,220
CONT_AWD_70CDCR24FR0000035_7012_70CDCR23D00000006_7012
THIS CONTRACT PROVIDES MEDICAL STAFFING SERVICES AT ALEXANDRIA, ELOY, FLORENCE, JENA, AND TACOMA. THE PURPOSE OF THIS MODIFICATION IS TO INCORPORATE THE WAGE DETERMINATION REA FOR…
THE ARORA GROUP, INC.
Maryland
Department of Homeland Security
U.S. Immigration and Customs Enforcement
—ALEXANDRIA, LA-062024$54,308,292
CONT_AWD_W81K0421C0009_9700_-NONE-_-NONE-
ADMINISTRATIVE MOD FOR ATHLETIC TRAINERS
COGNITO SYSTEMS LLC
Virginia
Department of Defense
Department of the Army
—NEWPORT NEWS, VA-032024$51,938,949
CONT_AWD_75P00123F37008_7570_75P00118D00009_7570
PURSUANT TO FAR 52.212-4, THE PURPOSE OF THIS BILATERAL MODIFICATION IS TO EXTEND SERVICES VIA JUSTIFICATION.
SERVEFED INC.
Maryland
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—BLADENSBURG, MD-042024$46,098,510
CONT_AWD_HHSP23320110002DC_7555_-NONE-_-NONE-
HHSP23320110002DC
QTC MEDICAL SERVICES INC
California
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—ROCKVILLE, MD-082026$42,974,373
CONT_AWD_70CDCR24FR0000061_7012_70CDCR23D00000010_7012
THE PURPOSE OF THIS MODIFICATION IS TO ADD ADDITIONAL INCREMENTAL FUNDING TO THE BASE PERIOD AS WELL AS EXERCISE OPTION PERIOD 1.
AMERGIS HEALTHCARE STAFFING, INC.
Maryland
Department of Homeland Security
U.S. Immigration and Customs Enforcement
—COLUMBIA, MD-032024$37,624,992
CONT_AWD_70CDCR24FR0000032_7012_70CDCR23D00000007_7012
THIS CONTRACT PROVIDES MEDICAL STAFFING FOR ICE HEALTH SERVICE CORPS AT BUFFALO, CAROLINE, ELIZABETH, FOLKSTON, KROME & VARICK. THIS MODIFICATION APPROVES REA FOR FOLKSTON FACILIT…
INGENESIS INC
Texas
Department of Homeland Security
U.S. Immigration and Customs Enforcement
—SAN ANTONIO, TX-202024$37,566,995
CONT_AWD_FA300222C0004_9700_-NONE-_-NONE-
THE CONTRACTOR SHALL PROVIDE USAF CANDIDATE DEVELOPMENT SUPPORT SERVICES (CDSS) SPECIAL WARFARE/COMBAT SUPPORT DEVELOPMENT IN ACCORDANCE WITH PERFORMANCE WORK STATEMENT (PWS) DATE…
T3I, INC.
California
Department of Defense
Department of the Air Force
—RANDOLPH AFB, TX-282024$32,312,713
CONT_AWD_W91YTZ19C0007_9700_-NONE-_-NONE-
DEOBLIGATE UNUSED FUNDS FROM OPTION YEAR 2 AND OPTION YEAR 3.
QUACITO LLC
Texas
Department of Defense
Department of the Army
—FORT BRAGG, NC-092024$32,194,585
CONT_AWD_47QFWA22C0005_4732_-NONE-_-NONE-
DODMERB MEDICAL SERVICES - MOD P00020 DECREASE CEILING CLINS 3001, 3006, 4001 AND 4006
CG SERVICES LLC
Pennsylvania
General Services Administration
Federal Acquisition Service
—PHILADELPHIA, PA-022024$31,502,536
CONT_AWD_75P00125F37008_7570_75P00118D00010_7570
THE PURPOSE OF THIS BILATERAL MODIFICATION IS UPDATE AND INCLUDE REVISED PREVAILING WAGE DETERMINATIONS TO TASK ORDER 75P00125F37008. IN ACCORDANCE WITH FAR 52.212-4 CONTRACT TERM…
STG INTERNATIONAL, INC.
Virginia
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—ARLINGTON, VA-082025$30,906,257
CONT_AWD_75H71320C00002_7527_-NONE-_-NONE-
SIHB MOD P00026 - TO PROVIDE H&C, ALCOHOL & URBAN HEALTH FUNDING FOR THE PERIOD OF OCTOBER 01, 2023 THROUGH SEPTEMBER 30, 2024.
SEATTLE INDIAN HEALTH BOARD
Washington
Department of Health and Human Services
Indian Health Service
—SEATTLE, WA-092024$30,496,071
CONT_AWD_70LGLY21CGLB00003_7015_-NONE-_-NONE-
HEALTH SERVICES, ENTERPRISE, SBA EM1608747851Z, MODIFICATION TO EXTEND SERVICES ONE MONTH AND TO ADD FUNDING FOR SERVICES PRIOR TO FEBRUARY 13, 2026
KADIAK LLC
Alaska
Department of Homeland Security
Federal Law Enforcement Training Center
—BRUNSWICK, GA-012024$30,283,298
CONT_AWD_75D30122C13956_7523_-NONE-_-NONE-
ICATT
LONGVIEW INTERNATIONAL TECHNOLOGY SOLUTIONS, INC.
Virginia
Department of Health and Human Services
Centers for Disease Control and Prevention
—HERNDON, VA-112024$27,420,777
CONT_AWD_75H71320C00001_7527_-NONE-_-NONE-
NARA MOD NO. P00027 - TO PROVIDE ALCOHOL & URBAN HEALTH FUNDING FOR THE PERIOD OF OCTOBER 01, 2023 THROUGH SEPTEMBER 30, 2024.
THE NATIVE AMERICAN REHABILITATION ASSOCIATION OF THE NORTHWEST, INCORPORATED
Oregon
Department of Health and Human Services
Indian Health Service
—PORTLAND, OR-012024$23,545,742
CONT_AWD_75P00123F37007_7570_75P00118D00009_7570
PURSUANT TO FAR 52.212-4 TERMS AND CONDITIONS?COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, EXTEND SERVICES BY SEVEN (7) MONTHS: PERIOD OF PERFORMANCE JANUARY 1, 2026, THROUGH JULY…
SERVEFED INC.
Maryland
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—BETHESDA, MD-082024$21,371,224
CONT_AWD_75D30121C11471_7523_-NONE-_-NONE-
CENTRALIZED MOLECULAR ASSESSMENT OF SARS-COV-2 AND INFLUENZA VIRUS INFECTION AND VACCINE EFFECTIVENESS
MARSHFIELD CLINIC HEALTH SYSTEM, INC.
Wisconsin
Department of Health and Human Services
Centers for Disease Control and Prevention
—MARSHFIELD, WI-072024$19,981,955
CONT_AWD_70B06C23F00000847_7014_70B06C21D00000009_7014
MEDICAL SERVICES
ACUITY-CHS, LLC
Florida
Department of Homeland Security
U.S. Customs and Border Protection
—CAPE CANAVERAL, FL-082024$19,869,467
CONT_AWD_HT001419F0362_9700_HT001418D0020_9700
MEDICAL RECORDS TECHNICIAN - INPATIENT
MEDFORCE GOVERNMENT SOLUTIONS, INC.
Virginia
Department of Defense
Defense Health Agency
—FORT BELVOIR, VA-082024$19,561,967
CONT_AWD_N6264521F0212_9700_HT001418D0029_9700
MEDICAL APPOINTMENT CLERK, MEDICAL OFFICE CLERK, ADVANCED OFFICE CLERK, REFERRAL CLERK - UTILIZATION MANAGEMENT
DILLIGAS CORP
Texas
Department of Defense
Defense Health Agency
—CAMP LEJEUNE, NC-032024$19,012,333
CONT_AWD_75P00124F37007_7570_75P00118D00010_7570
EXERCISE OPTION PERIOD 2, CONTRACT LINE ITEM NUMBER (CLIN) 3, ADD FUNDING AND WORK PLAN
STG INTERNATIONAL, INC.
Virginia
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—ARLINGTON, VA-082024$18,689,908
CONT_AWD_89233120CNA000130_8900_-NONE-_-NONE-
MEDICAL SUPPORT SERVICES FOR THE DOE/NNSA OFFICE OF SECURE TRANSPORTATION - NA-15.
CHENEGA HEALTHCARE SERVICES LLC
Texas
Department of Energy
Department of Energy
—ALBUQUERQUE, NM-012024$18,543,063
CONT_AWD_75P00124F37001_7570_75P00124D00004_7570
CLINICAL NATIONAL CAPITAL REGION (NCR) SUPPORT SERVICES. THE PURPOSE OF THIS, IN-SCOPE, BILATERAL MODIFICATION IS TO ADD SITE A7H AND A WORKPLAN TO TASK ORDER 75P00124D00004/75P00…
NATIONWIDE HEALTHCARE SOLUTIONS, LLC
Hawaii
Department of Health and Human Services
Office of the Assistant Secretary for Financial Resources
—ROCKVILLE, MD-082024$16,911,173
CONT_AWD_70CDCR24FR0000063_7012_70CDCR23D00000011_7012
THIS CONTRACT PROVIDES MEDICAL STAFFING FOR ICE HEALTH SERVICE CORPS AT THE PEARSALL FACILITY LOCATED IN PEARSALL, TEXAS. THIS MODIFICATION ADDS A COR TO THE TASK ORDER.
NORTH EAST SOUTH WEST HEALTHCARE SOLUTIONS, LLC
Virginia
Department of Homeland Security
U.S. Immigration and Customs Enforcement
—PEARSALL, TX-232024$16,465,998
CONT_AWD_75P00123F37006_7570_75P00118D00010_7570
THE PURPOSE OF THIS BILATERAL MODIFICATION IS TO EXTEND THE SERVICE BY FOUR MONTHS OF THIS CONTRACT VIA FAR 52.217-8.
STG INTERNATIONAL, INC.
Virginia
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—ARLINGTON, VA-082024$15,974,248
CONT_AWD_75P00120F37003_7570_75P00119D00008_7570
CLOSEOUT - CONTRACT #HHSP233201900008I/75P00120F37003
SPECTRUM HEALTHCARE RESOURCES, INC
Missouri
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—SAINT LOUIS, MO-012025$15,766,125
CONT_AWD_75H70320C00006_7527_-NONE-_-NONE-
HEALTH CARE AND REFERRAL SERVICES FOR URBAN INDIAN BENEFICIARIES RESIDING WITHIN THE URBAN CENTER, SANTA CLARA COUNTY, CALIFORNIA CONTRACTOR SHALL SUBMIT PAYMENT REQUESTS ELECTRON…
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
California
Department of Health and Human Services
Indian Health Service
—SAN JOSE, CA-162024$15,304,706
CONT_AWD_W81K0424C0006_9700_-NONE-_-NONE-
NON-PERSONAL CASE MANAGEMENT SERVICES IN SUPPORT OF INDIVIDUAL MEDICAL READINESS THROUGH THE ARMY RESERVE-MEDICAL MANAGEMENT CENTER (AR-MMC), PINELLAS PARK, FLORIDA UNDER U.S. ARM…
DAWSON CMS, LLC
Virginia
Department of Defense
Department of the Army
—SAINT PETERSBURG, FL-142024$14,660,802
CONT_AWD_HT001523F0037_9700_HT001418D0027_9700
SENIOR CREDENTIALING SPECIALIST
STRATUS FEDERAL SOLUTIONS LLC
Texas
Department of Defense
Defense Health Agency
—JBSA FT SAM HOUSTON, TX-212024$14,064,260
CONT_AWD_75H70522C00003_7527_-NONE-_-NONE-
MEDICAL HEALTH SERVICES
GERALD L IGNACE INDIAN HEALTH CENTER INC
Wisconsin
Department of Health and Human Services
Indian Health Service
—MILWAUKEE, WI-042025$13,240,056
CONT_AWD_75P00119F37001_7570_75P00119D00008_7570
CLOSEOUT - CONTRACT #HHSP233201900008I/HHSP23337001T
SPECTRUM HEALTHCARE RESOURCES, INC
Missouri
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—SAINT LOUIS, MO-012025$12,938,968
CONT_AWD_HT001419F0419_9700_HT001418D0020_9700
MEDICAL APPOINTMENT CLERKS AND MEDICAL OFFICE CLERKS SERVICES.
MEDFORCE GOVERNMENT SOLUTIONS, INC.
Virginia
Department of Defense
Defense Health Agency
—BETHESDA, MD-082024$12,799,244
CONT_AWD_75H70320C00004_7527_-NONE-_-NONE-
COMPREHENSIVE HEALTH SERVICES FOR ELIGIBLE URBAN INDIAN POPULATION, FRESNO COUNTY, CALIFORNIA INJURY PREVENTION PROJECT FUNDING
FRESNO AMERICAN INDIAN HEALTH PROJECT
California
Department of Health and Human Services
Indian Health Service
—FRESNO, CA-212024$12,424,945
CONT_AWD_HT001420F0324_9700_HT001418D0013_9700
MEDICAL RECORDS TECHNICIANS, MEDICAL APPOINTMENT CLERKS AND ADMINISTRATIVE ASSISTANT SERVICES.
DISTINCTIVE SPECTRUM HEALTHCARE SOLUTIONS JV LLC
Maryland
Department of Defense
Defense Health Agency
—BETHESDA, MD-082024$12,360,280
CONT_AWD_75H71320C00003_7527_-NONE-_-NONE-
NATIVE MOD P00029 - TO PROVIDE ALCOHOL & URBAN HEALTH FUNDING FOR THE PERIOD OF OCTOBER 1, 2023 THROUGH SEPTEMBER 30, 2024.
THE NATIVE PROJECT
Washington
Department of Health and Human Services
Indian Health Service
—SPOKANE, WA-052024$11,487,850
CONT_AWD_75H71324C00002_7527_-NONE-_-NONE-
SIHB - OY 1 ADD FUNDS - URBAN INDIAN HEALTH CARE SERVICES - SEATTLE, WASHINGTON
SEATTLE INDIAN HEALTH BOARD
Washington
Department of Health and Human Services
Indian Health Service
—SEATTLE, WA-092024$11,344,451
CONT_AWD_HT940623F0006_9700_HT001418D0012_9700
MEDICAL OFFICE CLERKS
DESTINY MANAGEMENT SERVICES, LLC
District of Columbia
Department of Defense
Defense Health Agency
—JACKSONVILLE, FL-042024$10,577,150
CONT_AWD_HT940623F0091_9700_HT001418D0007_9700
MEDICAL OFFICE CLERKS
AVOSYS TECHNOLOGY, INC.
Texas
Department of Defense
Defense Health Agency
—PORTSMOUTH, VA-032024$10,479,091
CONT_AWD_HT001419F0427_9700_HT001418D0014_9700
MEDICAL RECORDS TECHNICIAN SERVICES.
EMPOWERED MANAGEMENT SOLUTIONS LLC
Texas
Department of Defense
Defense Health Agency
—BETHESDA, MD-082024$10,352,389
CONT_AWD_HT001419F0411_9700_HT001418D0012_9700
MEDICAL APPOINTMENT CLERK
DESTINY MANAGEMENT SERVICES, LLC
District of Columbia
Department of Defense
Defense Health Agency
—BETHESDA, MD-082024$9,935,177
CONT_AWD_HT001424F0026_9700_HT001418D0006_9700
AMBULATORY MEDICAL CODING AUDITOR
ARAPAHO TECHNICAL SERVICES LLC
Texas
Department of Defense
Defense Health Agency
—BETHESDA, MD-082024$9,887,679
CONT_AWD_70B06C22F00001023_7014_70B06C21D00000009_7014
DEOBLIGATION MODIFICATION
ACUITY-CHS, LLC
Florida
Department of Homeland Security
U.S. Customs and Border Protection
—CAPE CANAVERAL, FL-082026$9,658,546
CONT_AWD_HT001521F5155_9700_HT001418D0011_9700
MEDICAL SUPPORT SERVICES -SERVICE TYPE I
DEFENSE HEALTH PROFESSIONALS LLC
Maryland
Department of Defense
Defense Health Agency
—DERWOOD, MD-082024$9,419,485
CONT_AWD_HT001419F0240_9700_HT001418D0012_9700
BIOMEDICAL EQUIPMENT TECHNICIAN
DESTINY MANAGEMENT SERVICES, LLC
District of Columbia
Department of Defense
Defense Health Agency
—BETHESDA, MD-082024$8,720,956
CONT_AWD_693JK425F95003N_6901_693JK423D500002_6901
THE PURPOSE OF THIS MODIFICATION IS TO DE-OBLIGATE FY-2025 FUNDING
FORENSIC DRUG & ALCOHOL TESTING LLC
Virginia
Department of Transportation
Immediate Office of the Secretary of Transportation
—WASHINGTON, DC-982026$8,443,903
CONT_AWD_W9114F20C0002_9700_-NONE-_-NONE-
VIRTUAL HEALTH SERVICE SUPPORT
BUSINESS ENABLED ACQUISITION AND TECHNOLOGY, INC.
Texas
Department of Defense
Department of the Army
——2024$8,387,219
CONT_AWD_75P00118F37001_7570_75P00118D00009_7570
CLINICAL WEST TASK ORDER 1
SERVEFED INC.
Maryland
Department of Health and Human Services
Office of the Assistant Secretary for Administration
—FREDERICK, MD-062024$8,238,940
CONT_AWD_70B06C24F00001050_7014_70B06C21D00000009_7014
MEDICAL AND DRUG TESTING SERVICES
ACUITY-CHS, LLC
Florida
Department of Homeland Security
U.S. Customs and Border Protection
—CAPE CANAVERAL, FL-082024$8,056,000

Top 50 awards shown, ranked by obligated amount. Dates reflect performance period; last-modified dates match USAspending.gov. Complete listings include all transaction history going back to FY2024.

Spending by State

Federal spending in the All Other Miscellaneous Ambulatory Health Care Services industry (NAICS 621999) broken down by state, with obligated amounts and award counts.
StateFundingAwards
Virginia$900.4M105
Maryland$313.6M41
Illinois$313.4M24
Rhode Island$227.4M3
Texas$170.5M109
Florida$130.5M71
California$107.6M115
North Carolina$69.9M31
Washington$68.4M48
Louisiana$57.7M13
Colorado$46.6M31
Oregon$37.6M47
Georgia$36.8M24
Wisconsin$36.8M12
Pennsylvania$35.4M21
New Mexico$32.0M31
District of Columbia$31.0M21
Missouri$30.6M7
Arizona$26.8M46
Hawaii$19.1M16
Nevada$18.6M22
Ohio$15.5M16
Montana$15.3M20
Alaska$14.9M12
Mississippi$14.2M22
Oklahoma$13.9M52
Alabama$12.5M15
Tennessee$11.5M19
Guam$8.4M7
Michigan$8.3M10
New Jersey$7.1M24
Kentucky$7.0M18
South Dakota$6.4M30
Indiana$5.5M9
Idaho$4.8M40
Connecticut$4.5M5
South Carolina$4.4M11
North Dakota$3.9M12
Utah$3.5M18
Kansas$3.3M5
Arkansas$3.1M21
Massachusetts$2.9M10
Wyoming$2.5M17
New York$2.3M22
Nebraska$2.2M5
West Virginia$1.1M13
Vermont$1.0M3
Delaware$855K1
Minnesota$776K10
Puerto Rico$245K1
New Hampshire$35K1