| Rank | Student | Grade | School | Year | | AST | G | AVG |
| 1 | Diego Hernan Perez | Jr | Oak Grove | 2023 | | 41 | 23 | 1.78 |
| 2 | Philip V Udinyiwe | Sr | Boonville | 2016 | | 39 | 23 | 1.70 |
| 3 | Ethan Bromaghim | Jr | Orchard Farm | 2019 | | 35 | 24 | 1.46 |
| 4 | Riley Moore | Jr | Smith-Cotton | 2017 | | 36 | 27 | 1.33 |
| 5 | Caleb Grabill | Sr | Harrisonville | 2010 | | 30 | 23 | 1.30 |
| 6 | Tim Gabel | Jr | Lafayette (Wildwood) | 2003 | | 33 | 26 | 1.27 |
| 7 | Greg Koeller | Sr | St. Thomas Aquinas-Mercy | 1981 | | 36 | 29 | 1.24 |
| 8 | Owen Bailey | Sr | Pleasant Hill | 2020 | | 27 | 22 | 1.23 |
| 8 | Owen Bailey | Sr | Pleasant Hill | 2020 | | 27 | 22 | 1.23 |
| 10 | Hunter Short | Sr | Rolla | 2013 | | 33 | 27 | 1.22 |
| 11 | Ethan Larson | Jr | Laquey | 2022 | | 30 | 25 | 1.20 |
| 11 | Ethan Larson | Jr | Laquey | 2022 | | 30 | 25 | 1.20 |
| 13 | Blane Brown | Sr | Kearney | 2007 | | 32 | 27 | 1.19 |
| 14 | Saldin Bajramovic | Jr | Bayless | 2005 | | 28 | 24 | 1.17 |
| 15 | Alec S Adair | Sr | Boonville | 2016 | | 26 | 23 | 1.13 |
| 16 | Rylen Ballard | Sr | Logan-Rogersville | 2021 | | 27 | 24 | 1.13 |
| 17 | | Sr | Laquey | 2022 | | 28 | 25 | 1.12 |
| 17 | Gauge Fleschute | Sr | Laquey | 2022 | | 28 | 25 | 1.12 |
| 19 | Steve Maurer | Sr | Vianney | 1981 | | 30 | 27 | 1.11 |
| 19 | Jarrid Hamilton | Sr | Northwest (Cedar Hill) | 2013 | | 30 | 27 | 1.11 |
| 21 | Gentry Decker | Sr | Excelsior Springs | 2004 | | 31 | 28 | 1.11 |
| 21 | Emanuele Riva | Sr | Stover | 2023 | | 31 | 28 | 1.11 |
| 23 | Nick Golden | Sr | Grandview (Hillsboro) (Old) | 2000 | | 24 | 22 | 1.09 |
| 24 | Cody Blentlinger | Jr | Harrisonville | 2010 | | 25 | 23 | 1.09 |
| 25 | Cory Mitchell Allensworth | Sr | Hannibal | 2017 | | 27 | 25 | 1.08 |
| 26 | Zak Cobb | Sr | Northwest (Cedar Hill) | 2004 | | 29 | 27 | 1.07 |
| 27 | Seth Wiebusch | Sr | Harrisonville | 2017 | | 32 | 30 | 1.07 |
| 28 | Caleb Grabill | Jr | Harrisonville | 2009 | | 26 | 25 | 1.04 |
| 28 | Patrick O Fuller | So | University City | 2019 | | 26 | 25 | 1.04 |
| 30 | Dylan Gaul | Sr | Excelsior Springs | 2004 | | 29 | 28 | 1.04 |
| 30 | Blake Kenneth Desselle | Sr | Grain Valley | 2015 | | 29 | 28 | 1.04 |
| 32 | Brandon Moore | Sr | Rolla | 2004 | | 30 | 30 | 1.00 |
| 32 | Raymond Lee | Sr | Park Hill | 2010 | | 28 | 28 | 1.00 |
| 32 | Kobe Norris | So | Harrisonville | 2018 | | 28 | 28 | 1.00 |
| 32 | Kobe Norris | So | Harrisonville | 2018 | | 28 | 28 | 1.00 |
| 32 | Seth Wiebusch | So | Harrisonville | 2015 | | 25 | 25 | 1.00 |
| 32 | Cory Allensworth | So | Hannibal | 2015 | | 25 | 25 | 1.00 |
| 38 | Cole Harkrader | Jr | Harrisonville | 2014 | | 24 | 25 | 0.96 |
| 38 | Cole Harkrader | Sr | Harrisonville | 2015 | | 24 | 25 | 0.96 |
| 38 | Tristen Carriger | Sr | Laquey | 2023 | | 24 | 25 | 0.96 |
| 41 | Bodie Rollins | Sr | Hannibal | 2024 | | 25 | 29 | 0.86 |
| 42 | Ethan Larson | Sr | Laquey | 2023 | | 17 | 25 | 0.68 |
| 42 | Ethan Larson | Sr | Laquey | 2023 | | 17 | 25 | 0.68 |
| 44 | Silas Philip Allouche | Sr | Parkview | 2021 | | 14 | 22 | 0.64 |
| 45 | Rylen Ballard | Jr | Logan-Rogersville | 2020 | | 14 | 24 | 0.58 |
| 46 | Rylen Ballard | So | Logan-Rogersville | 2019 | | 5 | 23 | 0.22 |