| Medical and Surgical Instruments, Equipment and Supplies | 2,942 | 5,701 | $7,069,268,452 | 
        
          | Fruits and Vegetables | 454 | 1,025 | $4,299,618,409 | 
        
          | Other Professional Services | 458 | 1,120 | $2,540,987,052 | 
        
          | Laboratory Testing | 262 | 743 | $2,229,654,513 | 
        
          | Drugs and Biologicals | 253 | 480 | $1,765,069,356 | 
        
          | Laboratory Equipment and Supplies | 610 | 1,722 | $1,632,672,576 | 
        
          | Biomedical Advanced Development R&D | 65 | 118 | $1,538,424,355 | 
        
          | Hospital and Surgical Clothing and Related Special Purpose Items | 179 | 252 | $1,060,156,600 | 
        
          | Financial Services | 24 | 133 | $843,784,507 | 
        
          | Meat, Poultry and Fish | 68 | 135 | $839,502,453 | 
        
          | Biomedical Applied Research/Exploratory Development R&D | 67 | 188 | $838,637,031 | 
        
          | Other IT and Telecommunications | 138 | 353 | $765,338,117 | 
        
          | Operation of Government Owned Contractor-Operated R&D Facilities | 10 | 69 | $753,838,344 | 
        
          | Engineering/Technical Services | 116 | 241 | $662,734,794 | 
        
          | Annual Software Maintenance Service Plans | 51 | 130 | $614,029,206 | 
        
          | Integrated Hardware/Software/Services Solutions | 76 | 224 | $541,885,516 | 
        
          | Other Medical | 141 | 459 | $533,538,419 | 
        
          | Operation of Government Owned Contractor Operated R&D Facilities | 5 | 34 | $484,519,511 | 
        
          | Dairy Foods and Eggs | 47 | 126 | $475,731,993 | 
        
          | Advertising Services | 12 | 34 | $465,997,603 | 
        
          | Communications Services | 24 | 38 | $447,895,113 | 
        
          | Program Management/Support Services | 148 | 355 | $365,755,837 | 
        
          | Commercialized Biomedical R&D | 1 | 1 | $354,256,000 | 
        
          | Information Technology Support Equipment | 91 | 278 | $317,602,348 | 
        
          | Emergency Response/Disaster Planning/Preparedness Support Services | 38 | 123 | $309,707,116 | 
        
          | Production Buildings Construction | 2 | 7 | $306,290,013 | 
        
          | Data Collection Services | 22 | 41 | $259,668,942 | 
        
          | Chemical and Pharmaceutical Products Manufacturing Machinery | 17 | 34 | $218,245,752 | 
        
          | Other Hospital Buildings Engineering & Architecture | 16 | 45 | $217,412,901 | 
        
          | Other Hospital Buildings Construction | 25 | 66 | $211,538,695 | 
        
          | Biomedical R&D | 61 | 119 | $205,630,656 | 
        
          | Repair or Alteration of Hospitals And Infirmaries | 107 | 256 | $190,771,955 | 
        
          | In Vitro Diagnostic Substances, Reagents, Test Kits and Sets | 206 | 398 | $170,782,963 | 
        
          | Application/Application Development Support Services (Labor) | 13 | 20 | $165,281,360 | 
        
          | Logistics Support Services | 33 | 4,003 | $164,913,488 | 
        
          | Custodial Janitorial Services | 1,248 | 3,888 | $163,782,367 | 
        
          | General Health Care | 215 | 561 | $159,139,340 | 
        
          | Program Evaluation/Review/Development Services | 29 | 61 | $157,196,407 | 
        
          | Special Purpose Clothing | 215 | 671 | $151,575,230 | 
        
          | Restoration of Government Owned Real Property | 2 | 22 | $143,412,285 | 
        
          | Nursing | 102 | 476 | $137,667,810 | 
        
          | Lodging, Hotel/Motel Services | 157 | 447 | $132,958,286 | 
        
          | Social Rehabilitation Services | 51 | 208 | $131,266,748 | 
        
          | Information Technology Software | 175 | 326 | $131,185,760 | 
        
          | Legal Services | 31 | 53 | $127,406,963 | 
        
          | Production Buildings Repair | 2 | 3 | $119,900,000 | 
        
          | Imaging Equipment and Supplies: Medical, Dental, Veterinary | 102 | 322 | $114,148,992 | 
        
          | Gas Turbines And Jet Engines, Aircraft, Prime Moving and Components | 5 | 8 | $113,067,690 | 
        
          | Safety and Rescue Equipment | 106 | 750 | $111,681,011 | 
        
          | Telecommunications and Transmission | 67 | 178 | $110,193,122 | 
        
          | Aeronautics/Space Technology Basic Research R&D | 7 | 33 | $84,195,535 | 
        
          | Marine Lifesaving and Diving Equipment | 14 | 41 | $78,361,197 | 
        
          | Teleprocessing, Timeshare, Cloud Computing, and High Performance Computing | 10 | 23 | $77,127,912 | 
        
          | Repair or Alteration of Miscellaneous Buildings | 24 | 52 | $72,357,742 | 
        
          | Courier/Messenger Services | 37 | 123 | $71,106,850 | 
        
          | Data Center Products (Hardware and Perpetual License Software) | 3 | 8 | $67,330,569 | 
        
          | Other Management Services | 84 | 196 | $66,626,841 | 
        
          | Hospital Furniture, Equipment, Utensils and Supplies | 216 | 499 | $66,240,777 | 
        
          | IT and Telecom Programming | 29 | 54 | $63,161,603 | 
        
          | Other Travel Services | 33 | 74 | $62,282,274 | 
        
          | Hospitals and Infirmaries Maintenance | 111 | 216 | $60,864,962 | 
        
          | Medical/Health Special Studies/Analysis | 19 | 26 | $58,222,968 | 
        
          | Warehousing/Storage Services | 14 | 20 | $58,034,928 | 
        
          | IT and Telecom Help Desk | 6 | 15 | $57,239,502 | 
        
          | Other Community Service/Development R&D (Engineering Development) | 1 | 1 | $57,200,000 | 
        
          | Digital Computers | 96 | 275 | $57,122,708 | 
        
          | Physical Science Applied Research/Exploratory Development R&D | 33 | 50 | $56,358,466 | 
        
          | Operation of Dining Facilities | 5 | 6 | $55,019,342 | 
        
          | Demolition of Buildings | 1 | 6 | $53,574,492 | 
        
          | Air Passenger Services | 5 | 27 | $53,248,540 | 
        
          | Specialized Medical Support | 23 | 50 | $52,529,817 | 
        
          | Prefabricated and Portable Buildings | 59 | 82 | $51,919,002 | 
        
          | Office Buildings Construction | 32 | 56 | $51,570,045 | 
        
          | Medical, Dental and Veterinary Equipment Installation | 12 | 18 | $50,005,317 | 
        
          | Other Administrative Services | 110 | 244 | $49,253,895 | 
        
          | Operation of Government Owned Waste Treatment and Storage Facilities | 2 | 17 | $48,840,000 | 
        
          | IT Help Desk Productivity Tools | 26 | 52 | $47,879,122 | 
        
          | Demolition of Structures/Facilities (Other Than Buildings) | 1 | 12 | $47,662,284 | 
        
          | Hospitals Construction | 67 | 159 | $47,526,174 | 
        
          | Physical Security and Badging Services | 32 | 143 | $47,182,874 | 
        
          | Business Application/Application Development Software as a Service | 16 | 23 | $45,239,618 | 
        
          | Guard Services | 104 | 318 | $40,697,151 | 
        
          | Data Center As A Service | 3 | 5 | $40,683,404 | 
        
          | Facilities Operations Support Services | 94 | 300 | $39,194,706 | 
        
          | AIDS Research R&D (Basic Research) | 3 | 9 | $37,765,633 | 
        
          | Health Services R&D | 6 | 19 | $36,500,562 | 
        
          | Other Environmental Services | 42 | 97 | $35,986,971 | 
        
          | Information Technology Equipment System Configuration | 67 | 193 | $35,249,938 | 
        
          | Other Non-Building Facilities Construction | 11 | 24 | $34,788,302 | 
        
          | Specialized Flight Clothing and Accessories | 18 | 29 | $34,055,589 | 
        
          | Evaluation/Screening | 39 | 126 | $32,408,574 | 
        
          | Composite Food Packages | 17 | 57 | $30,463,861 | 
        
          | Other Management/Support R&D | 1 | 6 | $30,442,760 | 
        
          | Expenses for Health Care R&D Facilities and Major Equipment | 1 | 4 | $29,041,892 | 
        
          | Information Technology Components | 75 | 153 | $28,767,891 | 
        
          | IT and Telecom Systems Development | 20 | 36 | $28,725,397 | 
        
          | Data (Other Than Scientific) Special Studies/Analysis | 16 | 20 | $28,070,779 | 
        
          | Information Technology Supplies | 36 | 93 | $27,941,047 | 
        
          | Telecommunications Network Management | 14 | 46 | $26,854,897 | 
        
          | Live Animals Rental | 10 | 19 | $26,826,672 |