I thought at first it was the total amount of crystals you have on you at one time, but it isn't.
Crystals earnt through chests, destroying items, or quest rewards don't count. It only counts when you pick up a crystal from the map, and it only rewards you one crystal per icon.
So if you pick up a crystal on the map worth 4, it will still only tally 1 crystal in your medal tally.
I'm currently playing Soothsayer and this what I have observed.
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