Second Piano Tiles (10 ish notes)

import pyautogui
import time
from datetime import datetime
import keyboard
from PIL import ImageGrab
import numpy as np
pyautogui.PAUSE = 0
#time.sleep(3)
#pyautogui.click(540,420)
game_coords = (800,700,1400,701)
time.sleep(2)
pyautogui.click(540,420)
counter = 0
while True:
    '''
    time = datetime.now()
    time = time.strftime("%S")
    print(time)
    '''
    screen = list(np.array(ImageGrab.grab(bbox=game_coords)))[0]
    if screen[0][0] == 0:
        #print("Collum One")
        pyautogui.moveTo(400,410+counter)

    elif screen[200][0] == 0:
        #print("Collum Two")
        pyautogui.moveTo(500,410+counter)

    elif screen[340][0] == 0:
        #print("Collum Three")
        pyautogui.moveTo(570,410+counter)

    elif screen[480][0] == 0:
        #print("Collum Four")
        pyautogui.moveTo(640,410+counter)
    counter += 3