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 February 2026, at 8,812. Wyoming had the lowest, at 86. The median was 1,008 and the figure for the United States was 68,689. Source: Centers for Disease Control and Prevention.

Highest8,812California
Lowest86Wyoming
Median1,00851 states
United States68,689History

All states, February 2026

CSVChart (SVG)

CaliforniaCalifornia: 8,812 count8,812TexasTexas: 4,441 count4,441FloridaFlorida: 4,038 count4,038New YorkNew York: 3,716 count3,716ArizonaArizona: 2,903 count2,903PennsylvaniaPennsylvania: 2,773 count2,773WashingtonWashington: 2,753 count2,753OhioOhio: 2,386 count2,386North CarolinaNorth Carolina: 2,329 count2,329TennesseeTennessee: 2,078 count2,078IllinoisIllinois: 1,936 count1,936ColoradoColorado: 1,855 count1,855MichiganMichigan: 1,741 count1,741GeorgiaGeorgia: 1,625 count1,625New JerseyNew Jersey: 1,542 count1,542IndianaIndiana: 1,355 count1,355MassachusettsMassachusetts: 1,344 count1,344MarylandMaryland: 1,338 count1,338South CarolinaSouth Carolina: 1,285 count1,285NevadaNevada: 1,252 count1,252LouisianaLouisiana: 1,230 count1,230MissouriMissouri: 1,213 count1,213KentuckyKentucky: 1,125 count1,125VirginiaVirginia: 1,092 count1,092New MexicoNew Mexico: 1,024 count1,024MinnesotaMinnesota: 1,008 count1,008WisconsinWisconsin: 956 count956OregonOregon: 930 count930OklahomaOklahoma: 870 count870AlabamaAlabama: 842 count842ConnecticutConnecticut: 819 count819West VirginiaWest Virginia: 667 count667UtahUtah: 652 count652KansasKansas: 495 count495MississippiMississippi: 421 count421MaineMaine: 373 count373ArkansasArkansas: 357 count357IowaIowa: 352 count352District of ColumbiaDistrict of Columbia: 340 count340HawaiiHawaii: 307 count307AlaskaAlaska: 304 count304DelawareDelaware: 296 count296IdahoIdaho: 284 count284New HampshireNew Hampshire: 256 count256Rhode IslandRhode Island: 203 count203MontanaMontana: 178 count178NebraskaNebraska: 150 count150VermontVermont: 146 count146North DakotaNorth Dakota: 121 count121South DakotaSouth Dakota: 90 count90WyomingWyoming: 86 count86
count. Source: CDC. Retrieved 2026-10-09.

Full ranking

RankStatesFebruary 2026
count		Change on February 2025
1California Provisional8,812-7.1%
2Texas Provisional4,441-8.5%
3Florida Provisional4,038-15%
4New York Provisional3,716-12.6%
5Arizona Provisional2,903+7.7%
6Pennsylvania Provisional2,773-14.7%
7Washington Provisional2,753-13.6%
8Ohio Provisional2,386-20%
9North Carolina Provisional2,329-10.6%
10Tennessee Provisional2,078-14%
11Illinois Provisional1,936-20.4%
12Colorado Provisional1,855+14.4%
13Michigan Provisional1,741-8.2%
14Georgia Provisional1,625-15.6%
15New Jersey Provisional1,542-16.1%
16Indiana Provisional1,355-17.2%
17Massachusetts Provisional1,344-11.8%
18Maryland Provisional1,338-18.4%
19South Carolina Provisional1,285-9.9%
20Nevada Provisional1,252-11.6%
21Louisiana Provisional1,230-13.6%
22Missouri Provisional1,213-13.2%
23Kentucky Provisional1,125-23.3%
24Virginia Provisional1,092-24.4%
25New Mexico Provisional1,024+26.7%
26Minnesota Provisional1,008+1.7%
27Wisconsin Provisional956-13.6%
28Oregon Provisional930-36.7%
29Oklahoma Provisional870-10.1%
30Alabama Provisional842-23.3%
31Connecticut Provisional819-14.1%
32West Virginia Provisional667-14.8%
33Utah Provisional652-6.1%
34Kansas Provisional495-13.9%
35Mississippi Provisional421-9.7%
36Maine Provisional373-17.5%
37Arkansas Provisional357-9.4%
38Iowa Provisional352-17.2%
39District of Columbia Provisional340-13%
40Hawaii Provisional307-9.7%
41Alaska Provisional304-6.2%
42Delaware Provisional296-14.9%
43Idaho Provisional284-10.1%
44New Hampshire Provisional256-0.8%
45Rhode Island Provisional203-32.8%
46Montana Provisional178+2.9%
47Nebraska Provisional150+0.7%
48Vermont Provisional146-23.2%
49North Dakota Provisional121+8%
50South Dakota Provisional90+12.5%
51Wyoming Provisional86-15.7%

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.

Use this data in your AI agent

Invokely serves this figure to AI assistants through MCP and to code through a REST API, with the source and citation attached. Ask your assistant:

Rank US states by drug overdose deaths (12 months) using official data, and cite the source.
rank_places {"indicator":"drug_overdose_deaths_12m","level":"region","within":"United States","limit":10}
GET https://invokely.ai/api/v1/rank?indicator=drug_overdose_deaths_12m&level=region&within=United%20States&limit=10

Connect Claude, ChatGPT or Cursor in one step. The trial answers 25 calls a day without an account.

Questions

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

California, with 8,812 in February 2026, according to Centers for Disease Control and Prevention.

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

Wyoming, with 86 in February 2026.

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.

US states: more rankings