There were 38 total needs identified by the TAC that were to be ranked individually by each TAC member and then compiled in this final tally. A ranking of High (5 points), Medium (3 points), or Low (1 point) was to be assigned by each member to each need. Each TAC member was limited to a maximum total of 13 High priority needs, 13 Medium priority needs and 12 Low priority needs.
| County | Route/Location/Potential solution | Need ID | Rankings |
| Knox | 6; entrance to High School near Edina; turn lane | KN 1 | 80 |
| Lewis | 6; High School near Ewing; turn lane | LE 7 | 78 |
| Scotland | 15; Memphis School entrance; light/turn lane | SCO 1 | 78 |
| Schuyler | M; replace 1 lane bridge over S. Fork N. Fabius river | SCH 1 | 74 |
| Clark | 136 & 81; Kahoka; turn lane | CL1 | 70 |
| Scotland | 15; replace bridge over Foreman Branch | SCO 4 | 70 |
| Scotland | 15; replace bridge over N. Fork Wyaconda River | SCO 6 | 70 |
| Clark | 61 & 136; raise road at Alexandria | CL 7 | 68 |
| Knox | 15 & 6; intersection in Edina; increase turning radius | KN 3 | 60 |
| Lewis | 6 & 16; intersection near Lewistown; sight distance | LE 3 | 58 |
| Adair/Knox/Lewis | 6; surface repair / add shoulders | AD KN LE 4 | 58 |
| Adair/Schuyler | 63; construct 4 lanes- Kirksville to Iowa Border | AD SCH 4 | 58 |
| Clark | 27 & 136; Wayland intersection- visibility | CL 4 | 56 |
| Adair | Business 63; Brewington to Rte. 6 / turn lane | AD 1 | 54 |
| Adair | Bus. 63/Baltimore; Patterson to Illinois; surface repair | AD 6 | 54 |
| Schuyler | 136; bridge over abandoned RR 1 mile W. of Rte. 36 | SCH 5 | 52 |
| Clark | 81; replace bridge over BNSF RR | CL 6 | 50 |
| Scotland | 136 & 15; Memphis “Y” intersection; lighting | SCO 10 | 50 |
| Clark | 81; add shoulders though entire county | CL 5 | 48 |
| Scotland/Knox | 15; add shoulders through both counties | SCO KN 2 | 48 |
| Adair | 11; add shoulders though entire county | AD 3 | 46 |
| Adair | 63; Kirksville to Macon Co.; median cable barriers | AD 5 | 44 |
| Schuyler | All lettered routes; surface repair | SCH 2 | 44 |
| Lewis | K; north of LaBelle; add shoulders | LE 6 | 40 |
| Lewis | C; LaGrange curve; emergency activation light | LE 5 | 40 |
| Lewis | 61; Rte. 16 to Rte. P; Auxiliary lane | LE 2 | 40 |
| Lewis | 61; Canton to LaGrange; install median cross over | LE 8 | 38 |
| Scotland | MM & 136; Memphis; lighting | SCO 9 | 36 |
| Adair | 63; repair/sweep shoulders | AD 7 | 36 |
| Adair/Knox/Lewis | 6; expand to 4 lanes Kirksville to Hwy 61 | AD KN LE 5 | 34 |
| Adair | Kirksville; Airport improvements | AD 8 | 34 |
| Scotland | 15; Memphis, Madison St. intersection; visibility | SCO 2 | 34 |
| Clark | All lettered routes; add shoulders | CL 2 | 30 |
| Lewis | Canton; Ferry service/Port Authority | LE 9 | 28 |
| Adair | Kirksville to Thousand Hills; FLATS (hike/bike path) | AD 11 | 24 |
| Lewis | C; reroute to straighten in Ewing | LE 4 | 20 |
| Adair | Kirksville; Bike lanes | AD 10 | 16 |
| Adair | Rail access (spur line) from BNSF | AD 9 | 16 |
| Scotland | 15; replace bridge over Wyaconda River | SCH 5 | Programmed in FY20 Do Not Rank |