Measures › Prevention › Annual Checkup
Prevention · BRFSS 2023
Visits to doctor for routine checkup within the past year among adults
US estimate 77.7% (95% interval 77.4–78.0), age-adjusted 75.7% (75.4–76.0). Published in the 2022, 2023, 2024, 2025 releases.
- Population: All Adults
- Case definition period: Previous year
- Prevalence (crude and age-adjusted)
Visits to doctor for routine checkup within the past year among adults: CDC's PLACES 2025 release estimates 77.7% nationally (95% confidence interval 77.4–78.0%), or 75.7% age-adjusted, from 2023 BRFSS responses.
Across the 2,956 counties with a 2025 estimate, the median county is 78.3% and the middle half of counties fall between 75.9% and 80.1%; the full range runs from 63.4% to 87.0%. Population-weighted state figures computed by this site (no interval) range from 68.8% (Alaska) to 84.1% (Rhode Island).
CDC advises that areas may be compared on individual measures but that the estimates should not be used to rank overall health; the county lists below are ordered by point estimate and every row carries its 95% confidence interval.
CDC's definition
A multilevel regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among adults who report having been to a doctor for a routine checkup (e.g., a general physical exam, not an exam for a specific injury, illness, or condition) in the previous year. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation.
CDC's notes: None
Quoted from CDC's PLACES measure definitions (cdc.gov/places/measure-definitions). BRFSS is the Behavioral Risk Factor Surveillance System, the telephone survey the model is trained on.
National distribution across counties
Crude county point estimates in the 2025 release, 24 equal bins. Deciles: 10th 72.6%, 25th 75.9%, median 78.3%, 75th 80.1%, 90th 81.6%. Counties without a 2025 estimate (Kentucky, Pennsylvania and the states without the social-needs module) are excluded here.
By state
Crude prevalence is the estimated share of all adults. Age-adjusted prevalence is standardised to the 2000 US standard population so that areas with different age structures can be compared. CDC: "Age-adjusted estimates are only available at the county and place-level."
| State | State figure, crude (site aggregate) | Lowest county | Highest county | Counties |
|---|---|---|---|---|
| Rhode Island | 84.1% | 83.1% | 86.1% | 5 |
| Louisiana | 81.8% | 78.6% | 85.4% | 64 |
| Mississippi | 81.5% | 77.8% | 84.9% | 82 |
| Maine | 81.2% | 79.5% | 83.6% | 16 |
| West Virginia | 81.0% | 77.1% | 82.9% | 55 |
| Delaware | 80.9% | 79.2% | 83.7% | 3 |
| Massachusetts | 80.9% | 78.5% | 85.3% | 14 |
| New York | 80.8% | 76.5% | 83.8% | 62 |
| South Carolina | 80.6% | 77.7% | 85.5% | 46 |
| Alabama | 80.4% | 78.2% | 85.0% | 67 |
| Connecticut | 80.4% | 78.0% | 82.8% | 9 |
| Michigan | 80.3% | 77.2% | 84.3% | 83 |
| North Carolina | 80.0% | 76.5% | 85.0% | 100 |
| Ohio | 79.9% | 75.1% | 82.0% | 88 |
| Indiana | 79.7% | 76.2% | 82.4% | 92 |
| Maryland | 79.2% | 76.2% | 83.1% | 24 |
| Virginia | 79.2% | 74.0% | 84.5% | 133 |
| Arkansas | 79.0% | 75.1% | 83.4% | 75 |
| Pennsylvania (2024 release) | 78.8% | 76.6% | 81.3% | 67* |
| Kentucky (2024 release) | 78.7% | 75.7% | 81.3% | 120* |
| Florida | 78.4% | 74.4% | 87.0% | 67 |
| Georgia | 78.4% | 69.4% | 83.9% | 159 |
| Missouri | 78.4% | 74.0% | 82.1% | 115 |
| Tennessee | 78.1% | 73.5% | 81.8% | 95 |
| New Jersey | 78.0% | 74.9% | 81.0% | 21 |
| Oklahoma | 77.9% | 75.0% | 80.8% | 77 |
| Illinois | 77.8% | 75.0% | 81.6% | 102 |
| New Hampshire | 77.8% | 74.7% | 79.8% | 10 |
| Wisconsin | 77.6% | 73.6% | 81.5% | 72 |
| Iowa | 77.5% | 74.6% | 80.1% | 99 |
| Hawaii | 77.3% | 74.2% | 78.5% | 5 |
| Kansas | 76.6% | 71.1% | 80.5% | 105 |
| South Dakota | 76.5% | 71.0% | 80.9% | 66 |
| Vermont | 76.1% | 73.1% | 78.8% | 14 |
| Nebraska | 75.9% | 72.5% | 79.9% | 93 |
| District of Columbia | 75.8% | 75.8% | 75.8% | 1 |
| Minnesota | 74.8% | 71.9% | 79.7% | 87 |
| North Dakota | 74.4% | 70.4% | 80.0% | 53 |
| Idaho | 74.3% | 67.3% | 78.3% | 44 |
| Arizona | 73.9% | 68.6% | 79.1% | 15 |
| Nevada | 73.9% | 70.9% | 78.3% | 17 |
| Texas | 73.8% | 67.3% | 81.9% | 253 |
| Oregon | 72.6% | 70.3% | 78.5% | 36 |
| Montana | 72.4% | 68.0% | 76.8% | 56 |
| California | 71.9% | 67.8% | 77.2% | 58 |
| Colorado | 71.4% | 66.3% | 78.1% | 64 |
| Washington | 70.7% | 67.0% | 78.7% | 39 |
| Utah | 70.4% | 68.4% | 76.2% | 29 |
| Wyoming | 69.7% | 66.9% | 74.3% | 23 |
| New Mexico | 69.0% | 65.0% | 76.6% | 33 |
| Alaska | 68.8% | 63.4% | 72.5% | 30 |
| State | State figure, age-adjusted (site aggregate) | Counties |
|---|---|---|
| Rhode Island | 82.7% | 5 |
| Louisiana | 80.4% | 64 |
| Mississippi | 80.1% | 82 |
| Massachusetts | 79.4% | 14 |
| New York | 79.2% | 62 |
| Alabama | 78.7% | 67 |
| South Carolina | 78.7% | 46 |
| North Carolina | 78.5% | 100 |
| Connecticut | 78.4% | 9 |
| Delaware | 78.4% | 3 |
| Michigan | 78.4% | 83 |
| West Virginia | 78.4% | 55 |
| Maine | 78.3% | 16 |
| Indiana | 78.2% | 92 |
| Ohio | 78.0% | 88 |
| Virginia | 77.7% | 133 |
| Maryland | 77.5% | 24 |
| Georgia | 77.4% | 159 |
| Arkansas | 77.3% | 75 |
| District of Columbia | 77.0% | 1 |
| Kentucky (2024 release) | 77.0% | 120* |
| Oklahoma | 76.8% | 77 |
| Pennsylvania (2024 release) | 76.7% | 67* |
| Tennessee | 76.6% | 95 |
| Missouri | 76.5% | 115 |
| Illinois | 76.1% | 102 |
| New Jersey | 76.1% | 21 |
| Iowa | 75.6% | 99 |
| Florida | 75.5% | 67 |
| Wisconsin | 75.4% | 72 |
| Kansas | 75.1% | 105 |
| New Hampshire | 75.0% | 10 |
| Hawaii | 74.6% | 5 |
| South Dakota | 74.5% | 66 |
| Nebraska | 74.3% | 93 |
| North Dakota | 73.3% | 53 |
| Texas | 73.3% | 253 |
| Vermont | 73.0% | 14 |
| Minnesota | 72.8% | 87 |
| Idaho | 72.6% | 44 |
| Nevada | 72.1% | 17 |
| Arizona | 71.8% | 15 |
| Utah | 70.9% | 29 |
| California | 70.6% | 58 |
| Colorado | 70.5% | 64 |
| Oregon | 70.4% | 36 |
| Montana | 69.7% | 56 |
| Washington | 69.2% | 39 |
| Alaska | 68.2% | 30 |
| Wyoming | 67.1% | 23 |
| New Mexico | 66.3% | 33 |
State figures are population-weighted county estimates computed by this site (PLACES publishes no state row) and carry no interval; they are listed by point estimate, which is not a ranking of states' health. Lowest and highest county columns are crude point estimates. * This measure was not published for the state in the 2025 release; its figure, county count and county range come from the release in brackets, the most recent that has them.
Highest county estimates
| County | Crude | 95% interval |
|---|---|---|
| Sumter County, FL | 87.0% | 84.6–89.1 |
| Bristol County, RI | 86.1% | 83.2–88.8 |
| Kent County, RI | 85.6% | 83.0–87.9 |
| Washington County, RI | 85.5% | 82.9–87.9 |
| McCormick County, SC | 85.5% | 82.8–87.9 |
| Tensas Parish, LA | 85.4% | 82.5–88.0 |
| Newport County, RI | 85.4% | 82.7–87.8 |
| Barnstable County, MA | 85.3% | 82.6–87.5 |
| Greene County, AL | 85.0% | 82.1–87.7 |
| Northampton County, NC | 85.0% | 82.0–87.5 |
| Sharkey County, MS | 84.9% | 82.8–86.7 |
| Jefferson County, MS | 84.8% | 81.8–87.5 |
| Jefferson Davis County, MS | 84.6% | 81.6–87.2 |
| Humphreys County, MS | 84.5% | 81.4–87.2 |
| Northumberland County, VA | 84.5% | 81.6–87.3 |
| Ontonagon County, MI | 84.3% | 81.3–86.9 |
| Brunswick County, NC | 84.3% | 81.3–86.9 |
| Dallas County, AL | 84.2% | 81.0–86.8 |
| Alcona County, MI | 84.2% | 81.2–86.9 |
| Coahoma County, MS | 84.2% | 81.2–86.9 |
| County | Age-adj. | 95% interval |
|---|---|---|
| Bristol County, RI | 84.0% | 80.7–87.0 |
| Kent County, RI | 83.7% | 80.7–86.3 |
| Claiborne County, MS | 83.4% | 80.1–86.3 |
| Leflore County, MS | 83.2% | 80.0–86.2 |
| Washington County, RI | 83.2% | 80.3–85.9 |
| Holmes County, MS | 83.1% | 79.9–86.1 |
| Coahoma County, MS | 83.0% | 79.8–85.9 |
| Jefferson County, MS | 82.9% | 79.6–85.9 |
| Bolivar County, MS | 82.8% | 79.5–85.8 |
| Tunica County, MS | 82.7% | 79.3–85.7 |
| Hinds County, MS | 82.6% | 79.4–85.5 |
| Humphreys County, MS | 82.5% | 79.1–85.5 |
| Newport County, RI | 82.5% | 79.3–85.4 |
| St. John the Baptist Parish, LA | 82.4% | 79.3–85.3 |
| Sumter County, AL | 82.3% | 78.9–85.4 |
| Macon County, AL | 82.2% | 78.8–85.2 |
| Caddo Parish, LA | 82.2% | 78.8–85.3 |
| Providence County, RI | 82.2% | 79.5–84.8 |
| Quitman County, MS | 82.1% | 78.9–85.1 |
| Montgomery County, AL | 82.0% | 78.7–85.0 |
Lowest county estimates
| County | Crude | 95% interval |
|---|---|---|
| Aleutians West Census Area, AK | 63.4% | 58.4–68.4 |
| Bethel Census Area, AK | 63.6% | 59.4–68.2 |
| Dillingham Census Area, AK | 63.7% | 59.1–68.2 |
| Nome Census Area, AK | 64.0% | 59.3–68.3 |
| Kusilvak Census Area, AK | 64.1% | 59.3–69.1 |
| Aleutians East Borough, AK | 64.2% | 59.2–69.1 |
| North Slope Borough, AK | 64.6% | 59.8–69.1 |
| Roosevelt County, NM | 65.0% | 60.1–69.6 |
| Lea County, NM | 65.0% | 60.0–69.6 |
| Fairbanks North Star Borough, AK | 65.8% | 62.0–69.3 |
| Southeast Fairbanks Census Area, AK | 65.9% | 61.6–70.0 |
| McKinley County, NM | 66.1% | 61.5–70.5 |
| Northwest Arctic Borough, AK | 66.1% | 61.3–70.8 |
| Kenai Peninsula Borough, AK | 66.1% | 62.3–69.7 |
| Eddy County, NM | 66.3% | 61.6–70.8 |
| Crowley County, CO | 66.3% | 61.4–70.9 |
| Curry County, NM | 66.4% | 61.9–71.0 |
| Fremont County, WY | 66.9% | 62.9–71.0 |
| Whitman County, WA | 67.0% | 62.8–70.6 |
| Denali Borough, AK | 67.1% | 62.5–71.5 |
| County | Age-adj. | 95% interval |
|---|---|---|
| Kalawao County, HI | 60.2% | 55.8–64.1 |
| Kenai Peninsula Borough, AK | 62.4% | 58.4–66.2 |
| Fremont County, WY | 63.1% | 58.8–67.6 |
| Dillingham Census Area, AK | 63.5% | 58.9–68.1 |
| Southeast Fairbanks Census Area, AK | 64.2% | 59.7–68.4 |
| Big Horn County, WY | 64.4% | 59.7–68.8 |
| Weston County, WY | 64.5% | 59.6–68.9 |
| Lewis County, WA | 64.6% | 60.5–68.7 |
| Guadalupe County, NM | 64.6% | 59.2–69.3 |
| Aleutians East Borough, AK | 64.6% | 59.9–69.4 |
| Washakie County, WY | 64.7% | 59.7–69.2 |
| Bristol Bay Borough, AK | 64.8% | 60.1–69.3 |
| Roosevelt County, NM | 64.9% | 59.9–69.6 |
| Petersburg Borough, AK | 64.9% | 60.3–69.6 |
| Bethel Census Area, AK | 64.9% | 60.8–69.4 |
| Aleutians West Census Area, AK | 64.9% | 60.2–69.7 |
| Union County, NM | 65.0% | 60.2–70.0 |
| Yakutat City and Borough, AK | 65.0% | 60.1–69.8 |
| Uinta County, WY | 65.1% | 60.5–69.5 |
| Taos County, NM | 65.1% | 60.1–69.7 |
Twenty counties at each end by point estimate. Small counties have wide intervals; many of these intervals overlap one another, so the order within each list is not a meaningful ranking. CDC: "the data should not be used for ranking the overall health of any county, place, census tract, or ZCTA."
National estimate by release
| Release | Crude | Age-adjusted | BRFSS year |
|---|---|---|---|
| 2022 release | 74.7% 74.3–75.0 | 73.0% | 2020 |
| 2023 release | 73.6% 73.3–73.9 | 71.8% | 2021 |
| 2024 release | 76.1% 75.9–76.4 | 74.2% | 2022 |
| 2025 release | 77.7% 77.4–78.0 | 75.7% | 2023 |
CDC's US row from each release's county file, for reference. Survey questions and modelling details change between releases; see the release pages.
Questions and answers
How does PLACES define "visits to doctor for routine checkup within the past year among adults"?
A multilevel regression and post-stratification approach was applied to BRFSS and ACS data to compute a detailed probability among adults who report having been to a doctor for a routine checkup (e.g., a general physical exam, not an exam for a specific injury, illness, or condition) in the previous year. The probability was then applied to the detailed population estimates at the appropriate geographic level to generate the prevalence. The 95% confidence interval was derived using Monte Carlo simulation. Population: All Adults. Time period of case definition: Previous year.
What is the national estimate for annual Checkup?
77.7% (95% confidence interval 77.4–78.0%) crude and 75.7% age-adjusted in the 2025 release.
Which counties have the highest and lowest estimates?
The highest county point estimate is 87.0% (Sumter County, FL) and the lowest 63.4% (Aleutians West Census Area, AK). Because the intervals for neighbouring positions usually overlap, the lists are a reference for point estimates, not a ranking.
Is a higher figure better or worse?
This site does not grade measures. CDC groups them as health outcomes, prevention, health risk behaviors, disability, health status and health-related social needs; for prevention measures such as checkups and screening a higher share reports the service, for the others a higher share reports the condition or circumstance.
Where does this data come from?
CDC PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025); the definition text is CDC's own from its measure definitions pages.
Provenance
Source: Centers for Disease Control and Prevention, PLACES: Local Data for Better Health, 2025 release (data updated 4 Dec 2025), with the 2022, 2023, 2024 releases for reference; US government work, public domain. Dataset on data.cdc.gov. Boundaries and ZIP-to-county relationships: US Census Bureau. Percentages are shown to one decimal as CDC publishes them; state figures are population-weighted means computed by this site. Definition text is CDC's own, from the PLACES measure definitions pages (public domain), with its burden narrative and references omitted. Processing errors are corrected at the next daily build; see corrections. Generated 30 Sep 2026.