The fact that no one has brought up yet is, most areas have all of the pairs coordinated and designated as used, however, I can assure you that close to 1/3 or less are actually actively on the air and being used. I have lived in three fairly large metro areas in my life and this was the case everytime. What happens is, someone or some group gets the frequency coordination and they either put up a machine or they don't. If they do, there is a 50/50 chance that it will last longer than a couple of years. If it does, great. If not, the person or group holding the pair coordination will sit on it, keep the coordination up to date and just hold it. This prevents someone who might actually put it to good use from getting it.
A good example of this is in Roanoke, VA. There is a fairly popular (and heavy used) mountain for RF sites called Poor Mountain. If you look in the ARRL repeater directory for Roanoke, you will see damn near 10-12 repeaters in the 2M range listed. I can tell you from personal experience, only about 4-5 of these are actually on the air and only two at the most get used. That is the 2M spectrum. In the 70cm (440) spectrum, there are almost just as many frequencies coordinated, but funny enough, most of them are on the air. Again, they are used very little.
Personally, I built both a 70cm and 33cm repeater, but I never got the chance to actually put them at a site. They mostly lived at the Motorola shop I worked at, at the time and saw very little local use. It's just the nature of the beast, but I did learn a lot.