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 June 2025, at 9,223. Wyoming had the lowest, at 80. The median was 1,031 and the figure for the United States was 73,905. Source: Centers for Disease Control and Prevention.

Highest9,223California
Lowest80Wyoming
Median1,03151 states
United States73,905History

All states, June 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,223 count9,223TexasTexas: 4,544 count4,544FloridaFlorida: 4,240 count4,240New YorkNew York: 3,885 count3,885WashingtonWashington: 3,152 count3,152PennsylvaniaPennsylvania: 3,115 count3,115ArizonaArizona: 2,904 count2,904OhioOhio: 2,704 count2,704North CarolinaNorth Carolina: 2,541 count2,541TennesseeTennessee: 2,352 count2,352IllinoisIllinois: 2,245 count2,245GeorgiaGeorgia: 1,826 count1,826New JerseyNew Jersey: 1,747 count1,747MichiganMichigan: 1,735 count1,735ColoradoColorado: 1,647 count1,647IndianaIndiana: 1,561 count1,561MarylandMaryland: 1,466 count1,466South CarolinaSouth Carolina: 1,410 count1,410MassachusettsMassachusetts: 1,385 count1,385OregonOregon: 1,366 count1,366KentuckyKentucky: 1,364 count1,364NevadaNevada: 1,340 count1,340VirginiaVirginia: 1,314 count1,314MissouriMissouri: 1,290 count1,290LouisianaLouisiana: 1,287 count1,287MinnesotaMinnesota: 1,031 count1,031AlabamaAlabama: 987 count987WisconsinWisconsin: 979 count979OklahomaOklahoma: 948 count948ConnecticutConnecticut: 918 count918New MexicoNew Mexico: 869 count869West VirginiaWest Virginia: 715 count715UtahUtah: 683 count683KansasKansas: 551 count551MississippiMississippi: 469 count469IowaIowa: 409 count409MaineMaine: 406 count406ArkansasArkansas: 364 count364District of ColumbiaDistrict of Columbia: 354 count354DelawareDelaware: 343 count343HawaiiHawaii: 328 count328AlaskaAlaska: 322 count322IdahoIdaho: 296 count296Rhode IslandRhode Island: 258 count258New HampshireNew Hampshire: 253 count253MontanaMontana: 181 count181VermontVermont: 165 count165NebraskaNebraska: 148 count148North DakotaNorth Dakota: 121 count121South DakotaSouth Dakota: 84 count84WyomingWyoming: 80 count80
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesJune 2025
count		Change on June 2024
1California Provisional9,223-17.9%
2Texas Provisional4,544-18.4%
3Florida Provisional4,240-35.9%
4New York Provisional3,885-32.5%
5Washington Provisional3,152-9.8%
6Pennsylvania Provisional3,115-22.2%
7Arizona Provisional2,904+12.1%
8Ohio Provisional2,704-31.2%
9North Carolina Provisional2,541-12.6%
10Tennessee Provisional2,352-25.9%
11Illinois Provisional2,245-24.7%
12Georgia Provisional1,826-19%
13New Jersey Provisional1,747-24.1%
14Michigan Provisional1,735-29.4%
15Colorado Provisional1,647-12.9%
16Indiana Provisional1,561-21.6%
17Maryland Provisional1,466-33.7%
18South Carolina Provisional1,410-21.7%
19Massachusetts Provisional1,385-31.5%
20Oregon Provisional1,366-27.1%
21Kentucky Provisional1,364-26.2%
22Nevada Provisional1,340-12.1%
23Virginia Provisional1,314-34.4%
24Missouri Provisional1,290-28.6%
25Louisiana Provisional1,287-33.7%
26Minnesota Provisional1,031-12.3%
27Alabama Provisional987-30.4%
28Wisconsin Provisional979-33.8%
29Oklahoma Provisional948-17.9%
30Connecticut Provisional918-22.9%
31New Mexico Provisional869-1.5%
32West Virginia Provisional715-37.5%
33Utah Provisional683-5%
34Kansas Provisional551-7.6%
35Mississippi Provisional469-18.7%
36Iowa Provisional409-7.7%
37Maine Provisional406-26.8%
38Arkansas Provisional364-19.1%
39District of Columbia Provisional354-36.6%
40Delaware Provisional343-24.8%
41Hawaii Provisional328+0.3%
42Alaska Provisional322-19.3%
43Idaho Provisional296-18%
44Rhode Island Provisional258-35.7%
45New Hampshire Provisional253-31.6%
46Montana Provisional181+4%
47Vermont Provisional165-30.1%
48Nebraska Provisional148-2%
49North Dakota Provisional121-6.2%
50South Dakota Provisional84+3.7%
51Wyoming Provisional80-37%

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 9,223 in June 2025, according to Centers for Disease Control and Prevention.

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

Wyoming, with 80 in June 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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