I updated this solely to make the following observation: There are 41 days left in this year, meaning a maximum of 205 points for winning a gold medal every day assuming a stream per day. Incidentally, that is exactly the number of gold medals needed for Miko to overtake Pekora as the #1 assuming Pekora wins no medals. Meanwhile, were a chuuba that hasn't won a single medal yet to take gold every day, they would be able to overtake Kuzuha as the #3. In fact, they could have one of those golds be bronze and still overtake him in points.
Gold = 5 points, Silver = 3 points, Bronze = 1 point
Rank; Name; Points; Gold; Silver; Bronze
1) Pekora: 429 (50, 49, 32)
2) Miko: 225 (21, 29, 33)
3) Kuzuha: 200 (18, 28, 26)
4) Subaru: 155 (16, 14, 33)
5) Marine: 126 (10, 20, 16)
6) Salome: 125 (16, 11, 12)
X) Nijisanji: 115 (15, 10, 10)
7) Aqua: 101 (17, 4, 4)
8) Suisei: 75 (7, 12, 4)
9) Gura: 65 (5, 10, 10)
10) Toya: 55 (6, 6, 7)
X) Hololive: 53 (6, 7, 2)
11) Fuwa: 45 (5, 6, 2)
12) Hal: 42 (6, 3, 3)
13) Kanata: 38 (6, 2, 2)
14) Koyori: 38 (4, 4, 6)
15) Korone: 37 (3, 6, 4)
16) Mio: 35 (6, 1, 2)
17) Flare: 34 (5, 3, 0)
18) Botan: 32 (2, 6, 4)
19) Okayu: 28 (4, 1, 5)
20) Fubuki: 28 (2, 5, 3)
21) Noel: 27 (4, 2, 1)
22) Towa: 25 (4, 1, 2)
23) Mayuzumi: 22 (3, 2, 1)
24) Polka: 21 (4, 0, 1)
25) Choco: 21 (3, 1, 3)
26) Lui: 21 (2, 3, 2)
27) Lamy: 20 (2, 2, 4)
28) Chloe: 19 (3, 0, 4)
29) Ayame: 17 (3, 0, 2)
30) Maimoto: 17 (2, 2, 1)
30) Tsukasa: 17 (2, 2, 1)
32) Shion: 16 (2, 1, 3)
33) Lize: 16 (0, 4, 2)
34) Mel: 15 (3, 0, 0)
35) Yashiro: 15 (2, 1, 2)
36) Nerumero: 14 (2, 1, 1)
37) Mito: 13 (2, 1, 0)
37) Nene: 13 (2, 1, 0)
37) Vox: 13 (2, 1, 0)
40) Shiina: 13 (1, 2, 2)
41) Haachama: 12 (1, 2, 1)
41) Leos: 12 (1, 2, 1)
41) Luna: 12 (1, 2, 1)
44) Ibrahim: 11 (2, 0, 1)
44) Sora: 11 (2, 0, 1)
46) Iroha: 11 (1, 1, 3)
47) Ange: 10 (2, 0, 0)
47) Mori: 10 (2, 0, 0)
47) Mysta: 10 (2, 0, 0)
50) Watame: 10 (1, 1, 2)
51) AZKi: 9 (1, 1, 1)
51) Laplus: 9 (1, 1, 1)
53) Chronoir: 8 (1, 1, 0)
53) Debi: 8 (1, 1, 0)
53) Hoshikawa: 8 (1, 1, 0)
53) Moona: 8 (1, 1, 0)
53) Ren: 8 (1, 1, 0)
53) Roboco: 8 (1, 1, 0)
53) Rushia: 8 (1, 1, 0)
60) Gwelu: 7 (1, 0, 2)
60) Yorumi: 7 (1, 0, 2)
62) Aki: 6 (1, 0, 1)
62) Kaida: 6 (1, 0, 1)
62) Ui: 6 (1, 0, 1)
65) Tsuna: 6 (0, 2, 0)
66) Amelia: 6 (0, 1, 3)
66) Hayato: 6 (0, 1, 3)
68) AI: 5 (1, 0, 0)
68) Axia: 5 (1, 0, 0)
68) Chima: 5 (1, 0, 0)
68) Furen: 5 (1, 0, 0)
68) Hayase: 5 (1, 0, 0)
68) Lain: 5 (1, 0, 0)
68) Masaru: 5 (1, 0, 0)
68) Melissa: 5 (1, 0, 0)
68) Mikeneko: 5 (1, 0, 0)
68) Nagao: 5 (1, 0, 0)
68) Naruse: 5 (1, 0, 0)
68) Natsume: 5 (1, 0, 0)
68) Sana: 5 (1, 0, 0)
68) Sango: 5 (1, 0, 0)
68) Selen: 5 (1, 0, 0)
68) Sukoya: 5 (1, 0, 0)
68) Zeta: 5 (1, 0, 0)
85) Kiara: 5 (0, 1, 2)