The underground sites were primarily for Long Lines equipment, i.e. L-carrier Coaxial repower, regen, cross-connect and HVAC and power continuity for these. You can see in the illustration that switching at its least efficient was maybe 1/4 of the facility (lowest level), L (and TD MW) would be a bit more dense but similar floor space on first level. These multistory sites had a lot of extra room for training rooms, service bureau, and some nod toward continuity in terms of sheltering a number of people with some token supplies although if you look at enough pictures over time it doesn't appear like it was ever taken very seriously... ultimately I think these just turned out to be a way AT&T and the DoD came up with to get the US Government to more heavily subsidize Long Lines network construction.
Switching of copper end lines would often happen closer to the user, i.e. on base although some sites did have switching due to favorable proximity (i.e. Soccoro, N.M) or presumably function like a tandem (maybe this site?). You can see a little of a 1A ESS in this video (https://www.facebook.com/CheshireVolFireDept/videos/a-brief-...) and maybe some 5ESS in the background as well although it is too brief for me to tell.
Some undergrounds were dual purposed for Microwave pathing and cross connect (like this linked one), but most microwave was instead in above ground hardened facilities elsewhere for path diversity.
Some undergrounds had Echo Fox transceivers and switching http://www.coldwar-c4i.net/Echo-Fox/index.html.
Project Offices are an interesting related rabbit hole to pursue http://www.coldwar-c4i.net/ATT_Project/index.html.
Source: I own an L-3 regen bunker and have done a lot of research on them.