A low-profile visual counting system is provided and designed to count pills or other small discrete objects. This technology is vision based, which allows a pharmacist or other user to pour pills onto a counting surface in a single layer, and then the device tells the user how many pills are on that surface. The present device places the camera and preferably an infrared light source below the counting surface. This offers the unique advantage of not having to mount a camera above the counting surface which reduces the size and improves the aesthetic characteristics of such a device. The image is captured and then processed to determine the number of pills on the surface. This system may be interfaced with other networks, terminals, and existing pharmacy management systems.