| Rank | Total | School | Years |
| 1 | 11 | Pembroke Hill | 1961, 1962, 1966, 1967, 1981, 2001, 2002, 2003, 2006, 2019, 2021 |
| 2 | 8 | Chaminade College Prep | 1952, 1997, 1998, 2003, 2004, 2017, 2023, 2024 |
| 3 | 7 | SLUH | 1937, 1938, 1939, 1942, 1953, 1998, 2025 |
| 4 | 5 | Jefferson City | 1949, 1969, 1971, 1983, 1992 |
| 4 | 5 | Poplar Bluff | 1980, 1986, 1994, 1996, 2004 |
| 4 | 5 | Helias Catholic | 1960, 1983, 1993, 2005, 2006 |
| 4 | 5 | Rockhurst | 1956, 1993, 2013, 2022, 2023 |
| 8 | 4 | Blue Springs | 1972, 1982, 1991, 2010 |
| 8 | 4 | MICDS | 1988, 1992, 2005, 2015 |
| 8 | 4 | Rock Bridge | 1978, 1980, 2009, 2018 |
| 8 | 4 | Priory | 1991, 1993, 2007, 2018 |
| 8 | 4 | Glendale | 1975, 1987, 2015, 2019 |
| 8 | 4 | Father Tolton Regional Catholic | 2014, 2016, 2017, 2021 |
| 14 | 3 | Sarcoxie | 1992, 1993, 1994 |
| 14 | 3 | Excelsior Springs | 1981, 1984, 2000 |
| 14 | 3 | Arcadia Valley | 1986, 1987, 2007 |
| 14 | 3 | Hillcrest | 1988, 1999, 2007 |
| 14 | 3 | Dixon | 1999, 2007, 2008 |
| 14 | 3 | Sacred Heart | 1991, 2011, 2012 |
| 14 | 3 | Ash Grove | 1998, 2009, 2023 |
| 14 | 3 | Bishop LeBlond | 2018, 2022, 2023 |
| 14 | 3 | Gallatin | 2002, 2018, 2025 |
| 14 | 3 | Summit Christian Academy | 2023, 2024, 2025 |
| 24 | 2 | Normandy Collaborative | 1950, 1951 |
| 24 | 2 | Webster Groves | 1948, 1955 |
| 24 | 2 | Southwest High School (Kansas City) | 1964, 1965 |
| 24 | 2 | Carthage | 1963, 1968 |
| 24 | 2 | Nevada | 1936, 1985 |
| 24 | 2 | Brookfield | 1977, 1988 |
| 24 | 2 | John Burroughs | 1973, 1997 |
| 24 | 2 | Richmond | 1993, 1998 |
| 24 | 2 | Joplin | 1947, 2000 |
| 24 | 2 | Lafayette (St. Joseph) | 1984, 2001 |
| 24 | 2 | Richland | 1995, 2001 |
| 24 | 2 | De Smet Jesuit | 1985, 2002 |
| 24 | 2 | Eldon | 1989, 2007 |
| 24 | 2 | Galena | 2005, 2007 |
| 24 | 2 | Central (Springfield) | 1957, 2008 |
| 24 | 2 | Hickman | 1990, 2009 |
| 24 | 2 | Westminster Christian Academy | 2008, 2010 |
| 24 | 2 | Kearney | 2009, 2011 |
| 24 | 2 | Francis Howell | 2011, 2012 |
| 24 | 2 | Whitfield | 2011, 2012 |
| 24 | 2 | Lutheran St. Charles | 2010, 2013 |
| 24 | 2 | Barat Academy | 2013, 2015 |
| 24 | 2 | Blair Oaks | 2014, 2015 |
| 24 | 2 | Boonville | 2014, 2015 |
| 24 | 2 | Notre Dame (Cape Girardeau) | 2013, 2016 |
| 24 | 2 | La Plata | 1989, 2017 |
| 24 | 2 | Cassville | 1990, 2017 |
| 24 | 2 | Bolivar | 1999, 2022 |
| 24 | 2 | Hannibal | 2021, 2024 |
| 24 | 2 | Hermann | 2022, 2024 |
| 54 | 1 | Kirkwood | 1940 |
| 54 | 1 | Southeast | 1941 |
| 54 | 1 | Mercy High School | 1954 |
| 54 | 1 | Fulton | 1958 |
| 54 | 1 | Parkway Central | 1959 |
| 54 | 1 | Lindbergh | 1970 |
| 54 | 1 | Neosho | 1974 |
| 54 | 1 | Raytown South | 1976 |
| 54 | 1 | Liberty | 1978 |
| 54 | 1 | Monett | 1980 |
| 54 | 1 | Marceline | 1982 |
| 54 | 1 | West Plains | 1986 |
| 54 | 1 | Branson | 1987 |
| 54 | 1 | Hazelwood Central | 1989 |
| 54 | 1 | Monroe City | 1990 |
| 54 | 1 | North County | 1994 |
| 54 | 1 | Cameron | 1995 |
| 54 | 1 | Parkway West | 1995 |
| 54 | 1 | St. Pius X (Festus) | 1996 |
| 54 | 1 | Webb City | 1996 |
| 54 | 1 | Sturgeon | 1997 |
| 54 | 1 | Truman | 1997 |
| 54 | 1 | Viburnum | 1999 |
| 54 | 1 | Maryville | 2000 |
| 54 | 1 | Seymour | 2000 |
| 54 | 1 | Platte County | 2001 |
| 54 | 1 | Ste. Genevieve | 2002 |
| 54 | 1 | Belle | 2003 |
| 54 | 1 | Chillicothe | 2003 |
| 54 | 1 | Clinton | 2004 |
| 54 | 1 | Salisbury | 2004 |
| 54 | 1 | Versailles | 2004 |
| 54 | 1 | Lawson | 2005 |
| 54 | 1 | Albany | 2006 |
| 54 | 1 | Pleasant Hill | 2006 |
| 54 | 1 | Savannah | 2007 |
| 54 | 1 | South Harrison | 2007 |
| 54 | 1 | Tipton | 2008 |
| 54 | 1 | Greenwood | 2009 |
| 54 | 1 | Tarkio | 2010 |
| 54 | 1 | Republic | 2012 |
| 54 | 1 | Logan-Rogersville | 2014 |
| 54 | 1 | Washington | 2014 |
| 54 | 1 | Battle | 2016 |
| 54 | 1 | Green Ridge | 2016 |
| 54 | 1 | Miller | 2019 |
| 54 | 1 | St. Pius X (Kansas City) | 2019 |
| 54 | 1 | Bowling Green | 2021 |
| 54 | 1 | Orrick | 2021 |
| 54 | 1 | Hallsville | 2022 |
| 54 | 1 | Staley | 2022 |
| 54 | 1 | Westran | 2022 |
| 54 | 1 | Liberty North | 2023 |
| 54 | 1 | Rolla | 2023 |
| 54 | 1 | St. Vincent | 2024 |
| 54 | 1 | Dexter | 2025 |
| 54 | 1 | Fatima | 2025 |