In May 2025, the percentage of patients with a telehealth claim increased nationally and in all four US census regions, according to FAIR Health's Monthly Telehealth Regional Tracker. Nationally, that percentage increased from 14.2 percent of patients in April to 14.3 percent in May, a 0.8 percent rise. In May, the West had the largest share of patients with a telehealth claim, at 18.7 percent, and the Midwest had the smallest share, at 10.8 percent. The data represent the commercially insured population, excluding Medicare Fee-for-Service, Medicare Advantage and Medicaid.From April to May, changes in utilization as measured by telehealth claim lines¹ varied. Nationally, telehealth claim lines fell from 5.01 percent of medical claim lines in April to 4.96 percent in May, a decrease of 1.0 percent. In the South, the decrease was 1.7 percent. In all other regions, there was an increase, from 0.4 percent in the West to 3.1 percent in the Northeast.

Diagnostic Categories

In May 2025, diabetes mellitus entered the top five telehealth diagnostic categories in the Midwest and West for the first time in 2025. In the Midwest, this diagnostic category entered in fifth position, displacing overweight and obesity; in the West, it entered in fourth position, displacing acute respiratory diseases and infections, which fell to the fifth rank, supplanting sleep disorders. In the South, diabetes fell off the list from fifth position, replaced by encounter for examination.

In May, mental health conditions remained in first position nationally and in every region, though the percentage of patients with a telehealth claim for this diagnostic category decreased nationally and in all regions. Nationally, it fell from 63.0 percent in April to 62.1 percent in May.

Urban versus Rural

In May 2025, as in April, telehealth utilization was higher in urban than rural areas nationally and in every region.² Nationally, 14.5 percent of patients in urban areas had a telehealth claim, compared to 7.5 percent in rural areas. The largest difference occurred in the West, where the percentage of urban patients using telehealth (18.8 percent) was 2.4 times the percentage of rural patients (7.9 percent). The smallest difference was found in the Northeast, where the percentage of patients in urban areas using telehealth (16.7 percent) was 1.5 times the percentage of patients in rural areas using telehealth (11.4 percent).

Age Distribution

In May 2025, as in April, the age groups 19-30 and 31-40 accounted for the largest percentages of patients with a telehealth claim nationally and in every region. Nationally in May, the age group 31-40 (22.8 percent) displaced the age group 19-30 (22.4 percent) as the age group with the largest percentage of patients having a telehealth claim. The same shift happened in the Northeast and South, though in the Midwest and West, the age group 19-30 still had the largest percentage of patients with a telehealth claim. Nationally and in every region, the age groups 0-9 and 65 and older accounted for the smallest shares (less than 10 percent each) of patients with a telehealth claim.

Procedure Categories

In May 2025, psychotherapy services and procedures, and established patient office or other outpatient services (including those for mental health conditions), were, as in April, the top two procedure categories nationally and in every region. The order of the two varied: In May, established patient office or other outpatient services ranked first nationally (at 47.7 percent of patients with a telehealth claim) and in the South and West, while psychotherapy services and procedures ranked first in the Midwest and Northeast. In April, established patient office or other outpatient services ranked second nationally (47.48 percent), while psychotherapy services and procedures (47.49 percent) ranked first.