For a given grade of receptacle, the slot shape is the only difference. The conductive parts of both ratings are identical; it's less expensive to manufacture that way.
Also, as far as I remember, every15a GFCI receptacle I have ever seen was rated for use on 15a or 20a circuits and rated for 20a feed-through.
I have always believed that the 20a configuration was an indication that the circuit was 20a, but above statements say that this is not necessarily correct.
Note that the contacts below each have three points of contact with either vertical or horizontal blades, so multiple configurations are available using the same parts: 15a at 125v, 20a at 125v, 15a at 250v, 20a at 250v, and combination duplexes, just by using different faces.
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