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BACKGROUND High-risk sexual behaviors (HRS are associated with sexually transmitted infections (STIs). The CDC and USPSTF recommend routine testing for patients with HRSB. Providers can classify patients with HRSB based on the sex of their sex partners using the International Classification of Disease Tenth Revision (ICD-1. We analyzed STI/HIV testing frequencies among patients with HRSB. METHODS This study used a large U.S. administrative outpatient medical claims dataset from 2015-2017. Patients aged 15-64 years were identified with