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 December 2025, at 9,049. Wyoming had the lowest, at 82. The median was 1,025 and the figure for the United States was 70,646. Source: Centers for Disease Control and Prevention.

Highest9,049California
Lowest82Wyoming
Median1,02551 states
United States70,646History

All states, December 2025

CSVChart (SVG)

CaliforniaCalifornia: 9,049 count9,049TexasTexas: 4,491 count4,491FloridaFlorida: 4,079 count4,079New YorkNew York: 3,771 count3,771ArizonaArizona: 2,978 count2,978WashingtonWashington: 2,968 count2,968PennsylvaniaPennsylvania: 2,866 count2,866OhioOhio: 2,453 count2,453North CarolinaNorth Carolina: 2,435 count2,435TennesseeTennessee: 2,132 count2,132IllinoisIllinois: 1,962 count1,962ColoradoColorado: 1,819 count1,819MichiganMichigan: 1,768 count1,768GeorgiaGeorgia: 1,664 count1,664New JerseyNew Jersey: 1,597 count1,597IndianaIndiana: 1,411 count1,411MarylandMaryland: 1,386 count1,386MassachusettsMassachusetts: 1,337 count1,337South CarolinaSouth Carolina: 1,336 count1,336VirginiaVirginia: 1,283 count1,283MissouriMissouri: 1,238 count1,238NevadaNevada: 1,230 count1,230LouisianaLouisiana: 1,207 count1,207KentuckyKentucky: 1,177 count1,177OregonOregon: 1,109 count1,109MinnesotaMinnesota: 1,025 count1,025WisconsinWisconsin: 980 count980New MexicoNew Mexico: 961 count961AlabamaAlabama: 868 count868OklahomaOklahoma: 866 count866ConnecticutConnecticut: 854 count854West VirginiaWest Virginia: 682 count682UtahUtah: 679 count679KansasKansas: 527 count527MississippiMississippi: 453 count453MaineMaine: 376 count376ArkansasArkansas: 373 count373IowaIowa: 372 count372District of ColumbiaDistrict of Columbia: 354 count354AlaskaAlaska: 331 count331DelawareDelaware: 327 count327HawaiiHawaii: 316 count316IdahoIdaho: 294 count294New HampshireNew Hampshire: 269 count269Rhode IslandRhode Island: 219 count219MontanaMontana: 175 count175VermontVermont: 150 count150NebraskaNebraska: 146 count146North DakotaNorth Dakota: 130 count130South DakotaSouth Dakota: 91 count91WyomingWyoming: 82 count82
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesDecember 2025
count		Change on December 2024
1California Provisional9,049-6.6%
2Texas Provisional4,491-10.7%
3Florida Provisional4,079-20.8%
4New York Provisional3,771-17.8%
5Arizona Provisional2,978+17.7%
6Washington Provisional2,968-6.8%
7Pennsylvania Provisional2,866-14.7%
8Ohio Provisional2,453-22%
9North Carolina Provisional2,435-12.1%
10Tennessee Provisional2,132-16.6%
11Illinois Provisional1,962-22.2%
12Colorado Provisional1,819+10.9%
13Michigan Provisional1,768-9.1%
14Georgia Provisional1,664-17.2%
15New Jersey Provisional1,597-18.1%
16Indiana Provisional1,411-16.8%
17Maryland Provisional1,386-20.8%
18Massachusetts Provisional1,337-16.3%
19South Carolina Provisional1,336-9.7%
20Virginia Provisional1,283-17.1%
21Missouri Provisional1,238-16.5%
22Nevada Provisional1,230-16.5%
23Louisiana Provisional1,207-19.7%
24Kentucky Provisional1,177-23.5%
25Oregon Provisional1,109-27.5%
26Minnesota Provisional1,025+3.1%
27Wisconsin Provisional980-16%
28New Mexico Provisional961+22.6%
29Alabama Provisional868-26.2%
30Oklahoma Provisional866-14.8%
31Connecticut Provisional854-14.4%
32West Virginia Provisional682-16.7%
33Utah Provisional679-1.7%
34Kansas Provisional527-5.9%
35Mississippi Provisional453-7.7%
36Maine Provisional376-21.3%
37Arkansas Provisional373-4.1%
38Iowa Provisional372-12.9%
39District of Columbia Provisional354-13.2%
40Alaska Provisional331-2.4%
41Delaware Provisional327-6.8%
42Hawaii Provisional316-6.2%
43Idaho Provisional294-9.8%
44New Hampshire Provisional269-4.6%
45Rhode Island Provisional219-34.2%
46Montana Provisional175+2.3%
47Vermont Provisional150-26.8%
48Nebraska Provisional146+0.7%
49North Dakota Provisional130+8.3%
50South Dakota Provisional91+2.2%
51Wyoming Provisional82-23.4%

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 9,049 in December 2025, according to Centers for Disease Control and Prevention.

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

Wyoming, with 82 in December 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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