Sleep disorders entered the national top five telehealth diagnostic categories in March 2025 in fifth position, according to FAIR Health’s Monthly Telehealth Regional Tracker. At the national level, this diagnostic category accounted for 1.8 percent of patients with a telehealth claim. Joint/soft tissue diseases and issues, which had been in fifth position in the national top five in February, rose to fourth, and overweight and obesity, which had been in fourth position in February, dropped off the list in March. In the West, sleep disorders also entered the top five in fifth position, displacing overweight and obesity, which fell off the list there as well. The data represent the commercially insured population, excluding Medicare Fee-for-Service, Medicare Advantage and Medicaid.
Mental health conditions remained the top diagnostic category nationally and in every US census region in March. This category accounted for 61.6 percent of patients with a telehealth claim nationally, down from 62.3 percent in February. Regionally, in March, the percentage varied from 68.2 percent in the Northeast to 55.9 percent in the South.
Utilization
In March 2025, the percentage of patients with a telehealth claim decreased nationally and in every region except the West. Nationally, that percentage decreased from 14.5 percent of patients in February to 14.3 percent in March, a 1.2 percent drop. Regionally, the decreases varied from 0.8 percent in the Northeast to 2.4 percent in the Midwest. In the West, however, the percentage of patients with a telehealth claim increased 1.8 percent.
During the same period, telehealth claim lines1 decreased as a percentage of all medical claim lines nationally, in the South and in the Midwest, but they increased in the Northeast and West. Nationally, the percentage decreased 3.1 percent, from 5.1 percent of claim lines in February to 5.0 percent in March. In both the South and Midwest, telehealth claim lines decreased 5.2 percent. The increases were 2.5 percent in the Northeast and 0.7 percent in the West.
Urban versus Rural
As in February, in March 2025, telehealth utilization was higher in urban than rural areas nationally and in all four regions.2 Nationally, 14.5 percent of patients in urban areas used telehealth, compared to 7.2 percent in rural areas. The largest difference occurred in the South, where the percentage of urban patients using telehealth (12.6 percent) was 2.3 times the percentage of rural patients (5.4 percent). The smallest difference was found in the Northeast, where the urban share (16.2 percent) was 1.5 times the rural share (11.0 percent).
Age Distribution
As in February, in March 2025, the age groups 19-30 and 31-40 accounted for the largest percentages of patients with a telehealth claim nationally and in every region. On the national level, 23.3 percent of patients in the age group 19-30 had a telehealth claim, and 22.6 percent of patients in the age group 31-40 had 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 March 2025, as in February, the top two procedure categories nationally and in every region were established patient office or other outpatient services, and psychotherapy services and procedures. The order of the two varied by region. Nationally and in the South and West, established patient office or other outpatient services ranked first; in the Midwest and Northeast, psychotherapy services and procedures ranked first. On the national level, established patient office or other outpatient services (including those for mental health conditions) accounted for 48.9 percent of patients with a telehealth claim (up from 48.1 percent in February), while psychotherapy services and procedures accounted for 46.1 percent (down from 47.1 percent).
