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 August 2025, at 9,191. Wyoming had the lowest, at 86. The median was 1,012 and the figure for the United States was 72,373. Source: Centers for Disease Control and Prevention.

Highest9,191California
Lowest86Wyoming
Median1,01251 states
United States72,373History

All states, August 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,191 count9,191TexasTexas: 4,395 count4,395FloridaFlorida: 4,123 count4,123New YorkNew York: 3,799 count3,799WashingtonWashington: 3,176 count3,176PennsylvaniaPennsylvania: 3,031 count3,031ArizonaArizona: 2,880 count2,880OhioOhio: 2,551 count2,551North CarolinaNorth Carolina: 2,505 count2,505TennesseeTennessee: 2,273 count2,273IllinoisIllinois: 2,091 count2,091ColoradoColorado: 1,742 count1,742GeorgiaGeorgia: 1,729 count1,729MichiganMichigan: 1,726 count1,726New JerseyNew Jersey: 1,674 count1,674IndianaIndiana: 1,505 count1,505MarylandMaryland: 1,428 count1,428OregonOregon: 1,406 count1,406South CarolinaSouth Carolina: 1,363 count1,363MassachusettsMassachusetts: 1,337 count1,337KentuckyKentucky: 1,315 count1,315VirginiaVirginia: 1,299 count1,299MissouriMissouri: 1,284 count1,284NevadaNevada: 1,252 count1,252LouisianaLouisiana: 1,224 count1,224MinnesotaMinnesota: 1,012 count1,012WisconsinWisconsin: 986 count986AlabamaAlabama: 944 count944OklahomaOklahoma: 912 count912ConnecticutConnecticut: 891 count891New MexicoNew Mexico: 888 count888West VirginiaWest Virginia: 694 count694UtahUtah: 684 count684KansasKansas: 572 count572MississippiMississippi: 470 count470IowaIowa: 406 count406MaineMaine: 400 count400ArkansasArkansas: 369 count369DelawareDelaware: 341 count341District of ColumbiaDistrict of Columbia: 327 count327AlaskaAlaska: 322 count322HawaiiHawaii: 316 count316IdahoIdaho: 285 count285New HampshireNew Hampshire: 251 count251Rhode IslandRhode Island: 243 count243MontanaMontana: 177 count177VermontVermont: 145 count145NebraskaNebraska: 142 count142North DakotaNorth Dakota: 125 count125South DakotaSouth Dakota: 86 count86WyomingWyoming: 86 count86
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesAugust 2025
count		Change on August 2024
1California Provisional9,191-12.7%
2Texas Provisional4,395-18%
3Florida Provisional4,123-32%
4New York Provisional3,799-29.5%
5Washington Provisional3,176-4.5%
6Pennsylvania Provisional3,031-20%
7Arizona Provisional2,880+16.2%
8Ohio Provisional2,551-30%
9North Carolina Provisional2,505-9.6%
10Tennessee Provisional2,273-24.3%
11Illinois Provisional2,091-27.9%
12Colorado Provisional1,742-1.2%
13Georgia Provisional1,729-21.1%
14Michigan Provisional1,726-24.1%
15New Jersey Provisional1,674-22.3%
16Indiana Provisional1,505-19.3%
17Maryland Provisional1,428-31.6%
18Oregon Provisional1,406-16.8%
19South Carolina Provisional1,363-19.8%
20Massachusetts Provisional1,337-29.8%
21Kentucky Provisional1,315-24.4%
22Virginia Provisional1,299-28.7%
23Missouri Provisional1,284-23.7%
24Nevada Provisional1,252-18.9%
25Louisiana Provisional1,224-31.7%
26Minnesota Provisional1,012-10.1%
27Wisconsin Provisional986-26.9%
28Alabama Provisional944-28.8%
29Oklahoma Provisional912-19.4%
30Connecticut Provisional891-20%
31New Mexico Provisional888+6.6%
32West Virginia Provisional694-32.4%
33Utah Provisional684-7.3%
34Kansas Provisional572+1.2%
35Mississippi Provisional470-15.9%
36Iowa Provisional406-4.2%
37Maine Provisional400-24.8%
38Arkansas Provisional369-10.7%
39Delaware Provisional341-15.6%
40District of Columbia Provisional327-35.9%
41Alaska Provisional322-18.9%
42Hawaii Provisional316+0.6%
43Idaho Provisional285-21.7%
44New Hampshire Provisional251-26.6%
45Rhode Island Provisional243-37.4%
46Montana Provisional177-2.7%
47Vermont Provisional145-36.7%
48Nebraska Provisional142-0.7%
49North Dakota Provisional1250%
50South Dakota Provisional86-4.4%
50Wyoming Provisional86-30.1%

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 9,191 in August 2025, according to Centers for Disease Control and Prevention.

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

Wyoming, with 86 in August 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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