2020 overdose deaths, by state

Provisional data shows California had the most fatal overdoses among U.S. states in 2020, according to a ranking Kaiser Family Foundation released July 20.

The ranking is based on data from the CDC's National Center for Health Statistics. The figures represent provisional drug overdose death counts for 2020 and have been adjusted to account for underreporting. 

Of the nearly 3.4 million deaths recorded in the U.S. last year, 93,331 were caused by fatal overdoses. 

Here's how each state and the District of Columbia compare.

  1. California — 9,538 overdose deaths
    Total deaths: 320,753

  2. Florida — 7,579
    Total deaths: 243,105

  3. Pennsylvania — 5,278
    Total deaths: 156,617

  4. Ohio — 5,215
    Total deaths: 143,947

  5. New York — 5,132
    Total deaths: 201,514

  6. Texas — 4,192
    Total deaths: 253,702

  7. Illinois — 3,573
    Total deaths: 128,730

  8. North Carolina — 3,260
    Total deaths: 110,110

  9. Tennessee — 3,128
    Total deaths: 88,401

  10. New Jersey — 2,841
    Total deaths: 95,550

  11. Michigan — 2,770
    Total deaths: 115,484

  12. Maryland — 2,761
    Total deaths: 59,646

  13. Arizona — 2,660
    Total deaths: 77,089

  14. Massachusetts — 2,318
    Total deaths: 68,930

  15. Indiana — 2,268
    Total deaths: 79,149

  16. Virginia — 2,187
    Total deaths: 79,510

  17. Kentucky — 2,104
    Total deaths: 55,709

  18. Louisiana — 1,925
    Total deaths: 56,831

  19. Missouri — 1,921
    Total deaths: 76,269

  20. Georgia — 1,863
    Total deaths: 103,508

  21. South Carolina — 1,730
    Total deaths: 60,285

  22. Washington — 1,724
    Total deaths: 63,018

  23. Wisconsin — 1,539
    Total deaths: 62,468

  24. Colorado — 1,512
    Total deaths: 47,595

  25. Connecticut — 1,385
    Total deaths: 38,123

  26. West Virginia — 1,377
    Total deaths: 25,647

  27. Minnesota — 1,066
    Total deaths: 52,186

  28. Alabama — 1,009
    Total deaths: 63,362

  29. Nevada — 916
    Total deaths: 31,391

  30. New Mexico — 813
    Total deaths: 23,080

  31. Oregon — 799
    Total deaths: 40,238

  32. Oklahoma — 753
    Total deaths: 46,426

  33. Utah — 623
    Total deaths: 22,212

  34. Mississippi — 522
    Total deaths: 39,310

  35. Arkansas — 515
    Total deaths: 37,820

  36. District of Columbia — 511
    Total deaths: 7,458

  37. Maine — 490
    Total deaths: 15,620

  38. Kansas — 471
    Total deaths: 31,124

  39. Delaware — 449
    Total deaths: 10,991

  40. Iowa — 419
    Total deaths: 35,658

  41. Rhode Island — 396
    Total deaths: 12,160

  42. New Hampshire — 393
    Total deaths: 13,512

  43. Idaho — 283
    Total deaths: 16,468

  44. Hawaii — 274
    Total deaths: 12,070

  45. Nebraska — 210
    Total deaths: 19,702

  46. Vermont — 186
    Total deaths: 6,177

  47. Montana — 157
    Total deaths: 12,008

  48. Alaska — 146
    Total deaths: 5,008

  49. North Dakota — 123
    Total deaths: 8,839

  50. Wyoming — 101
    Total deaths: 5,527

  51. South Dakota — 74
    Total deaths: 10,126

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