| Rank | Total | School | Years |
| 1 | 77 | Parkway West | 1976 (2), 1977 (7), 1978 (6), 1979 (5), 1980 (6), 1981 (7), 1982, 1983 (2), 1984 (2), 1985 (5), 1986 (2), 1987 (3), 1988 (2), 1989, 1991, 1994 (6), 1997, 2006, 2007, 2009, 2010, 2011 (3), 2012 (2), 2013, 2014, 2016 (2), 2019, 2021, 2022 (2), 2024 |
| 2 | 64 | Lafayette (Wildwood) | 1986, 1987, 1990 (2), 1991 (5), 1992 (5), 1993 (6), 1994 (2), 1997 (4), 1998 (2), 2000 (4), 2001 (8), 2002 (2), 2003 (4), 2004 (5), 2005, 2007, 2009, 2010 (2), 2016 (2), 2017 (2), 2018 (4) |
| 3 | 51 | Blue Springs | 1986 (5), 1987 (3), 1988 (4), 1989 (6), 1992 (3), 1993, 2002 (2), 2003 (2), 2004 (2), 2005 (8), 2006 (5), 2007, 2008 (6), 2009, 2013, 2014 |
| 4 | 35 | MICDS | 1981, 1982 (2), 1983 (2), 1987 (2), 1991 (2), 1992, 1993 (2), 1994 (3), 1995 (4), 1998 (2), 2000, 2009, 2010 (3), 2011, 2012, 2013, 2014, 2015, 2019 (2), 2022, 2023 |
| 5 | 30 | Hickman | 1982, 1983, 1984 (2), 1990, 1991 (2), 1992, 1995 (2), 1996 (5), 1997, 1998 (2), 1999 (4), 2000, 2015, 2016, 2017, 2018, 2019 (3) |
| 6 | 27 | Cor Jesu Academy | 1977 (2), 1978 (2), 1979 (3), 1981, 1989 (2), 2017, 2018 (2), 2019 (3), 2020, 2021 (5), 2022 (4), 2023 |
| 6 | 27 | Kirkwood | 1977, 1982, 1985 (3), 1988 (2), 1990 (2), 1992 (2), 1993, 2004, 2005, 2006, 2019, 2020 (5), 2021 (5), 2024 |
| 8 | 24 | Parkway South | 1980, 1988 (2), 1999, 2005 (2), 2007 (4), 2014, 2018, 2021 (3), 2022 (4), 2023 (3), 2024 (2) |
| 9 | 22 | Parkway Central | 1976 (4), 1980, 1984 (2), 1989, 1990 (2), 1997 (3), 2002, 2003 (3), 2004 (2), 2017, 2018, 2022 |
| 10 | 20 | Glendale | 1983, 2002 (4), 2004 (2), 2007, 2009, 2012, 2013 (3), 2014 (2), 2015 (3), 2018 (2) |
| 11 | 19 | Marquette | 1996, 1997, 1998, 1999 (5), 2000 (3), 2001 (2), 2002, 2003, 2016, 2017 (2), 2020 |
| 12 | 18 | Rock Bridge | 2012 (2), 2013, 2014 (2), 2015 (2), 2016 (3), 2017 (2), 2018 (3), 2019, 2020, 2022 |
| 13 | 14 | St. Joseph's Academy | 1980, 1982 (2), 1983 (5), 1993, 2012, 2014, 2017 (2), 2018 |
| 13 | 14 | Blue Springs South | 1993, 1994, 1995 (2), 1996, 1999 (2), 2000 (2), 2002 (2), 2003 (2), 2024 |
| 13 | 14 | Central (Cape Girardeau) | 1995 (2), 1996, 2007 (2), 2019, 2020, 2023 (3), 2024 (4) |
| 16 | 13 | Ft. Zumwalt West | 2006 (2), 2009 (2), 2010 (2), 2011 (3), 2012 (2), 2019, 2020 |
| 16 | 13 | Clayton | 1976, 1977, 1984, 1989, 1997, 2007, 2009, 2021 (2), 2022 (2), 2024 (2) |
| 18 | 10 | Timberland | 2006, 2007, 2008 (4), 2009 (2), 2023, 2024 |
| 18 | 10 | Park Hill South | 2014 (2), 2015 (2), 2016 (2), 2023 (2), 2024 (2) |
| 20 | 9 | Ladue Horton Watkins | 1976 (4), 2019 (2), 2022, 2023, 2024 |
| 20 | 9 | Eureka | 2009 (2), 2021 (2), 2022, 2023 (2), 2024 (2) |
| 22 | 8 | Westminster Christian Academy | 2001, 2018, 2019, 2020, 2021, 2023 (3) |
| 23 | 6 | Hannibal | 2010 (3), 2011 (3) |
| 23 | 6 | Nerinx Hall | 1990, 1991, 2001, 2019, 2020, 2021 |
| 23 | 6 | Kickapoo | 1984 (2), 1985 (2), 2017, 2022 |
| 26 | 5 | Liberty | 1985, 1986, 1987, 1995, 1996 |
| 26 | 5 | Park Hill | 1978, 1982, 1986, 1987, 2013 |
| 26 | 5 | Parkway North | 2011, 2012 (2), 2013 (2) |
| 26 | 5 | Francis Howell | 2010, 2011, 2015, 2018, 2020 |
| 26 | 5 | The Summit Preparatory | 2016, 2018, 2019, 2020 (2) |
| 26 | 5 | Lee's Summit North | 1998 (2), 2013, 2014, 2021 |
| 26 | 5 | Savannah | 2020, 2022 (2), 2023 (2) |
| 26 | 5 | Liberty North | 2019, 2023 (2), 2024 (2) |
| 26 | 5 | Villa Duchesne | 2020, 2023, 2024 (3) |
| 35 | 4 | Bishop DuBourg | 1980, 1981 (2), 1982 |
| 35 | 4 | St. Charles | 2018 (2), 2019 (2) |
| 35 | 4 | Webster Groves | 2006 (2), 2008, 2020 |
| 35 | 4 | Incarnate Word Academy | 2018 (2), 2019, 2020 |
| 35 | 4 | New Covenant Academy | 2021 (2), 2022 (2) |
| 40 | 3 | Pattonville | 1996, 1997, 1998 |
| 40 | 3 | Logan-Rogersville | 2019, 2020, 2022 |
| 40 | 3 | Father Tolton Regional Catholic | 2020, 2022, 2023 |
| 43 | 2 | Central (Springfield) | 1979 (2) |
| 43 | 2 | Truman | 1988, 1990 |
| 43 | 2 | Barstow | 1996 (2) |
| 43 | 2 | Oak Park | 1998 (2) |
| 43 | 2 | Mehlville | 1984, 2008 |
| 43 | 2 | Staley | 2019, 2020 |
| 49 | 1 | Ursuline Academy | 1978 |
| 49 | 1 | Lindbergh | 1979 |
| 49 | 1 | Hazelwood Central | 1980 |
| 49 | 1 | Principia | 1982 |
| 49 | 1 | McCluer | 1984 |
| 49 | 1 | Notre Dame de Sion | 1990 |
| 49 | 1 | Raytown | 1990 |
| 49 | 1 | Pembroke Hill | 1991 |
| 49 | 1 | Lee's Summit | 1995 |
| 49 | 1 | St. Mary's (Independence) | 2000 |
| 49 | 1 | Rockwood Summit | 2012 |
| 49 | 1 | Lee's Summit West | 2013 |
| 49 | 1 | Jackson | 2015 |
| 49 | 1 | Lutheran St. Charles | 2018 |
| 49 | 1 | Marshall | 2018 |
| 49 | 1 | Francis Howell North | 2020 |
| 49 | 1 | Visitation Academy | 2020 |
| 49 | 1 | Kearney | 2021 |
| 49 | 1 | Carl Junction | 2023 |
| 49 | 1 | Battle | 2024 |
| 49 | 1 | Lutheran South | 2024 |