| Rank | Student | School | Year | | PO | Ast | E | G | Pct |
| 1 | | Scott City | 2023 | | 606 | 203 | 24 | 33 | 0.971 |
| 2 | | Clearwater | 2010 | | 506 | 181 | 22 | 28 | 0.969 |
| 3 | | Aurora | 2016 | | 606 | 179 | 27 | 31 | 0.967 |
| 4 | | Aurora | 2017 | | 653 | 0 | 29 | 32 | 0.957 |
| 5 | | Windsor | 2020 | | 394 | 101 | 22 | 24 | 0.957 |
| 6 | | Southern Boone | 2023 | | 737 | 216 | 43 | 37 | 0.957 |
| 7 | | Westminster Christian Academy | 2007 | | 510 | 204 | 33 | 30 | 0.956 |
| 8 | | Jackson | 2022 | | 801 | 186 | 47 | 41 | 0.955 |
| 9 | | Eugene | 2010 | | 403 | 123 | 26 | 23 | 0.953 |
| 10 | | El Dorado Springs | 2021 | | 444 | 168 | 32 | 25 | 0.950 |
| 11 | | Kelly | 2020 | | 512 | 58 | 30 | 28 | 0.950 |
| 12 | | Westminster Christian Academy | 2011 | | 638 | 233 | 47 | 2011 | 0.949 |
| 13 | | Southern Boone | 2021 | | 720 | 231 | 52 | 36 | 0.948 |
| 13 | | Southern Boone | 2021 | | 720 | 231 | 52 | 36 | 0.948 |
| 15 | | Webb City | 2015 | | 602 | 214 | 45 | 28 | 0.948 |
| 16 | | Northwest (Cedar Hill) | 2007 | | 481 | 212 | 39 | 24 | 0.947 |
| 17 | | Westminster Christian Academy | 2008 | | 527 | 192 | 42 | 27 | 0.945 |
| 18 | | Northwest (Cedar Hill) | 2013 | | 502 | 219 | 44 | 25 | 0.942 |
| 19 | | Northwest (Cedar Hill) | 2005 | | 507 | 183 | 44 | 26 | 0.940 |