Data / Rankings / Drug overdose deaths, 12 months ending / US states

US states by drug overdose deaths (12 months)

California had the highest drug overdose deaths (12 months) of 51 states in May 2025, at 9,327. Wyoming had the lowest, at 85. The median was 1,015 and the figure for the United States was 74,878. Source: Centers for Disease Control and Prevention.

Highest9,327California
Lowest85Wyoming
Median1,01551 states
United States74,878History

All states, May 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,327 count9,327TexasTexas: 4,640 count4,640FloridaFlorida: 4,294 count4,294New YorkNew York: 3,935 count3,935WashingtonWashington: 3,186 count3,186PennsylvaniaPennsylvania: 3,163 count3,163ArizonaArizona: 2,866 count2,866OhioOhio: 2,762 count2,762North CarolinaNorth Carolina: 2,544 count2,544TennesseeTennessee: 2,337 count2,337IllinoisIllinois: 2,233 count2,233GeorgiaGeorgia: 1,900 count1,900MichiganMichigan: 1,768 count1,768New JerseyNew Jersey: 1,754 count1,754ColoradoColorado: 1,674 count1,674IndianaIndiana: 1,582 count1,582MarylandMaryland: 1,540 count1,540KentuckyKentucky: 1,410 count1,410MassachusettsMassachusetts: 1,404 count1,404South CarolinaSouth Carolina: 1,402 count1,402NevadaNevada: 1,387 count1,387OregonOregon: 1,387 count1,387VirginiaVirginia: 1,339 count1,339LouisianaLouisiana: 1,333 count1,333MissouriMissouri: 1,316 count1,316AlabamaAlabama: 1,015 count1,015MinnesotaMinnesota: 1,008 count1,008OklahomaOklahoma: 988 count988WisconsinWisconsin: 975 count975ConnecticutConnecticut: 916 count916New MexicoNew Mexico: 854 count854West VirginiaWest Virginia: 719 count719UtahUtah: 691 count691KansasKansas: 564 count564MississippiMississippi: 462 count462IowaIowa: 418 count418MaineMaine: 409 count409ArkansasArkansas: 369 count369District of ColumbiaDistrict of Columbia: 360 count360DelawareDelaware: 351 count351HawaiiHawaii: 343 count343AlaskaAlaska: 328 count328IdahoIdaho: 301 count301Rhode IslandRhode Island: 275 count275New HampshireNew Hampshire: 250 count250VermontVermont: 182 count182MontanaMontana: 177 count177NebraskaNebraska: 150 count150North DakotaNorth Dakota: 118 count118South DakotaSouth Dakota: 87 count87WyomingWyoming: 85 count85
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesMay 2025
count		Change on May 2024
1California Provisional9,327-18%
2Texas Provisional4,640-17.3%
3Florida Provisional4,294-36.8%
4New York Provisional3,935-33.8%
5Washington Provisional3,186-9.7%
6Pennsylvania Provisional3,163-22.5%
7Arizona Provisional2,866+12.3%
8Ohio Provisional2,762-32.3%
9North Carolina Provisional2,544-15%
10Tennessee Provisional2,337-28.9%
11Illinois Provisional2,233-28.1%
12Georgia Provisional1,900-15.7%
13Michigan Provisional1,768-29.2%
14New Jersey Provisional1,754-26.7%
15Colorado Provisional1,674-11.7%
16Indiana Provisional1,582-21.4%
17Maryland Provisional1,540-31.8%
18Kentucky Provisional1,410-24.6%
19Massachusetts Provisional1,404-33.4%
20South Carolina Provisional1,402-26.1%
21Nevada Provisional1,387-4.4%
21Oregon Provisional1,387-27.2%
23Virginia Provisional1,339-36.4%
24Louisiana Provisional1,333-33.5%
25Missouri Provisional1,316-27.7%
26Alabama Provisional1,015-29.7%
27Minnesota Provisional1,008-17.8%
28Oklahoma Provisional988-12.2%
29Wisconsin Provisional975-37.3%
30Connecticut Provisional916-24.1%
31New Mexico Provisional854-7.9%
32West Virginia Provisional719-39.1%
33Utah Provisional691-3.2%
34Kansas Provisional564-9.2%
35Mississippi Provisional462-23.5%
36Iowa Provisional418-5.4%
37Maine Provisional409-28.4%
38Arkansas Provisional369-18.7%
39District of Columbia Provisional360-38.3%
40Delaware Provisional351-23.5%
41Hawaii Provisional343+5.2%
42Alaska Provisional328-16.5%
43Idaho Provisional301-18.4%
44Rhode Island Provisional275-30.9%
45New Hampshire Provisional250-34.6%
46Vermont Provisional182-18%
47Montana Provisional177-1.1%
48Nebraska Provisional150+0.7%
49North Dakota Provisional118-12.6%
50South Dakota Provisional87+8.8%
51Wyoming Provisional85-33.6%

Other periods

About this ranking

Drug overdose deaths that occurred in the area during the 12 months ending in the month shown. The value for March 2026 covers April 2025 through March 2026. Underlying cause of death coded X40 to X44, X60 to X64, X85 or Y10 to Y14 (ICD-10).

United States: CDC National Vital Statistics System provisional counts, as reported, not the predicted counts CDC also publishes. Recent months are incomplete and usually rise as death records arrive; periods without final data are marked provisional. Deaths are counted where they occurred. The national figure covers the 50 states and DC. CDC publishes New York City separately; the New York State value is the sum of New York City and the rest of the state. Consecutive months overlap by 11 months, so they must not be added together.

Every value in the ranking comes from the same publisher and the same period, so the states are compared on one definition. Equal values share a rank.

How to cite

Centers for Disease Control and Prevention (CDC). VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. https://data.cdc.gov/resource/xkb8-kh2a.json?%24order=%3Aid&%24limit=50000&%24where=indicator%3D%27Number+of+Drug+Overdose+Deaths%27+AND+period%3D%2712+month-ending%27. Retrieved 2026-10-09.

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Questions

Which state has the highest drug overdose deaths (12 months)?

California, with 9,327 in May 2025, according to Centers for Disease Control and Prevention.

Which state has the lowest drug overdose deaths (12 months)?

Wyoming, with 85 in May 2025.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: Centers for Disease Control and Prevention, VSRR Provisional Drug Overdose Death Counts (xkb8-kh2a), reported number of drug overdose deaths, 12 month-ending. Retrieved 2026-10-09.

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