| Item | Obligations |
|---|---|
| Direct Health and Medical Insurance Carriers | $29.4B |
| Pharmaceutical Preparation Manufacturing | $11.1B |
| Offices of Physicians (except Mental Health Specialists) | $7.6B |
| Computer Systems Design Services | $3.4B |
| Commercial and Institutional Building Construction | $2.5B |
| Other Computer Related Services | $2.1B |
| Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers | $913M |
| Custom Computer Programming Services | $759M |
| Surgical and Medical Instrument Manufacturing | $715M |
| Software Publishers | $627M |
Direct Health and Medical Insurance Carriers was Veterans Affairs's largest contract category, with $29.4B obligated (42.0% of contract spending).