The Honda Insight was named the most fuel-efficient car in the United States for the third straight year in the Environmental Protection Agency’s (EPA) annual report on automotive fuel economy. The Insight was the first gasoline-electric hybrid sold in the United States, when it went on sale in 1999. The Insight equipped with a 5-speed manual transmission earned EPA estimated fuel economy ratings of 61 mpg city and 68 mpg highway. The Insight equipped with an advanced continuously variable automatic transmission (CVT) was second, with a 57/56 mpg city/highway rating. Two other Honda models also finished in the top 10. The Honda Civic HX Coupe with a 5-speed transmission earned a 36/44 mpg city/highway rating, and the HX equipped with the CVT was rated at 35/40 mpg city/highway.