I'll wager an opinion here.
I would not consider an immigration physicial to be preventative in nature. I think this would be more of an administrative physicial. I would report this with code 99499 (unlisted E/M) and ICD-9-CM code V70.3. Payers more than likely won't pay for this, so you may have to make the patient a self-pay.
Now for the follow-up visit, is the provider addressing a specific issue or complaint? If so, you report the E/M and code for the symptom or complaint. If not, then I could possibly see the follow-up visit being preventative and would report V70.0.
Others may see this differently, but this is my opinion.
Hope this helps.
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