In general, $(P, X)$ is not the only prime containing $P[[X]]$ and contracting to $P$. I don't have anything to say about the problem of characterizing such primes, but in general it seems extremely hard. Let's focus on the case $P = 0$.
As a motivating example we can even use the integers. The ring $\mathbb{Z}[[X]]$ is a UFD. For any prime $p$ and power series $F$, it is clear that $p +xF$ is irreducible in $\mathbb{Z}[[X]]$ and hence prime. Moreover if we take $f \in \mathbb{Z}[X]$ to be such that the content $c(f)$ of $f$, that is the ideal generated by the coefficients of $f$ in $\mathbb{Z}$, is coprime to $p \mathbb{Z}$, then additionally $(p + Xf) \cap \mathbb{Z}= 0$. One way to show this would be to appeal to the Dedekind-Mertens content formulaDedekind-Mertens content formula$^1$, which asserts that over any ring $R$, if $f$ is a polynomial of degree $n$, $G,H \in R[[X]]$, with $fG=H$, then $c(f)c(G)^{n+1} = c(G)^{n} c(H)$. Here $c(F)$ denotes the content ideal of the power series $F$. From here, if we had $(p+Xf)G = p G_0 \in \mathbb{Z}$ then the D-M formula would imply $\frac{1}{p} c(G)^k \subseteq c(G)^k$ which would in turn imply $p$ is a unit (absurd). For every prime $p$, we have found infinitely many polynomials which are prime in $\mathbb{Z}[[X]]$ and which lie over $0$ in $\mathbb{Z}$. Moreover in this way we can be sure to find lots of distinct primes in $\mathbb{Z}[[X]]$, which follows for example from this old postthis old post of mine on stackexchange https://math.stackexchange.com/questions/2499050/when-does-f-g-in-rx-relatively-prime-imply-f-g-in-rx-relatively-prim.
I'm not sure to what extent this way of producing principal primes over $0$ generalizes to other rings. It does work verbatim for any Archimedean GCD domain $D$ for which $D[[X]]$ has its irreducible elements prime. The tough part is that last bit, which is a very delicate property. However, it is sufficient that $D[[X]]$ be a UFD, which is a well-studied problem. So for example this argument applies just as well to any regular UFD.
$^1$ See theorem 3.6 in the paper Zero divisors in power series rings by R. Gilmer, A. Grams, and T. Parker [Journal für die reine und angewandte Mathematik (1975), EUDML Link]