| Item | Obligations |
|---|---|
| Direct Health and Medical Insurance Carriers | $30.6B |
| Pharmaceutical Preparation Manufacturing | $12.3B |
| Offices of Physicians (except Mental Health Specialists) | $7.8B |
| Computer Systems Design Services | $4.9B |
| Commercial and Institutional Building Construction | $3.5B |
| Other Computer Related Services | $2.9B |
| Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers | $1.1B |
| Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds | $916M |
| Custom Computer Programming Services | $903M |
| Surgical and Medical Instrument Manufacturing | $899M |
Direct Health and Medical Insurance Carriers was Veterans Affairs's largest contract category, with $30.6B obligated (38.5% of contract spending).