; and (bb) the number of such individuals described in a category specified in clause (iv), broken down by each such category. (II) With respect to such covered entity and each off-campus outpatient department of such entity— (aa) the percentage of the total number of individuals furnished items and services during such preceding year who were dispensed or administered drugs during such preceding year that were subject to an agreement under this section; and (bb) for each category specified in clause (iv), the percentage of the total number of individuals described in such category furnished items and services during such preceding year who were dispensed or administered drugs during such preceding year that were subject to an agreement under this section. (III) With respect to such covered entity and each off-campus outpatient department of such entity, the total costs incurred during the year at each such site and the cost incurred at each such site for charity care (as defined in line 23 of worksheet S–10 to the Medicare cost report, or in any successor form). (IV) With respect to such covered entity and each off-campus outpatient department of such entity, the costs incurred during the year of furnishing items and services at each such department to patients of such entity who were entitled to benefits under part A of title XVIII of the Social Security Act or enrolled under part B of such title, enrolled in a State plan under title XIX of such Act (or a waiver of such plan), or who were uninsured for services, minus the sum of— (aa) payments under title XVIII such Act for such items and services (including any cost sharing for such items and services); (bb) payments under title XIX of such Act for such items and services (including any cost sharing for such items and services)