The pandemic took an enormous toll on many industries, and healthcare was no exception. As hospitals, medical practices, outpatient facilities, and many healthcare organizations limited, paused or postponed services and procedures with the initial global spread of COVID-19, the effect was unprecedented.

Covid-19 significantly shook up healthcare utilization primarily in March–May of 2020. Nevertheless, the impact was uneven across service lines.

In this data chart, you can see the variation in healthcare utilization from 2020 vs. 2019. Some changes to care delivery seemed to have a longer impact, such as a reduction in imaging services delivered in general. Physical therapy had a longer decline than many other services. There was also a clear shift away from administering drugs in outpatient settings (medical pharmacy reduction).

As we moved into June, the service line impact began a recovery trend. However, like the initial declines, the rebound was also uneven. Some services lines went back to the 2019 baseline, such as orthopedics procedures, MRIs, neurology procedures, CT scans, chiropractors, speech therapy, and several others.

Other services lines seemed to have greater resilience and rebound power. A few service lines — immunizations, pediatrics, lab services, PET scans, hematology, endocrine procedures and behavior health — saw increases above the 2019 baseline. However, some of those same buoyant healthcare offerings retreated below the baseline as the pandemic surged at year’s end.

Catalogue No. ARC.2021.0728


Jacob Hochberg (American, born 1987)
Amanda Anderson-You (American, born 1988)


D3.js, Excel, and Illustrator
Data sourced from Commercial, Medicare and Medicaid claims

To request a high-resolution version of this data visualization — suitable for printing — please fill out this short form:

Download the visualization

October 1, 2021