Federally qualified health centers (FQHCs) provided outpatient primary care to approximately 30 million low-income individuals in 2021. Prior to March 2020, FQHCs rarely received reimbursement for telehealth services delivered into patients' homes. However, pandemic-related regulatory waivers allowed many payers to reimburse FQHCs the same rate for in-person, audio-only, and video visits. Most visits delivered by California FQHCs in 2020 were audio only. Little is known about the evolution of audio-only visits as FQHCs gained experience with video visits. We describe visit trends among California FQHCs from 2019 to 2022.