Ballot
A Vote
counter, noun
The kanji and the word are exactly the same. That means they share meanings as well. It can also be a vote, because that's what ballots tend to do.
The reading is the same as the one you learned with the kanji.
当選にはあと百票届かなかった。
They were a hundred votes were short of getting elected.
どうやってそんなに大量の票をゲットしたの？
How did you get such a large amount of votes?
そのアイドルは、総選挙で自分が得票数１位になったとき、とてもうれしそうに笑った。
The idol smiled happily when she became the top vote recipient in the general election.
コウイチは票の大半を得て相手候補者に圧勝し、アメリカ合衆国の大統領となった。
Koichi defeated the other candidate with a majority of the votes and became the President of the United States of America.