As I said, this pretty much depends on the business requirements and after discussing that in length with the users, the solution is usually to simply add an “Others” row that sums up all values which are not part of the TopN items. For regular business users this requirement sounds really trivial because in Excel the could just add a new row and subtract the values of the TopN items from the Grand Total.
However, they usually will not understand the complexity behind this requirement for Power BI. In Power BI we cannot simply add a new “Others” row on the fly. It has to be part of the data model and as the TopN calculations is already dynamic, also the calculation for “Others” has to be dynamic. As you probably expected, also this has been covered already:
Oraylis – Show TopN and rest in Power BI
Power BI community – Dynamic Top N and Others category
This is a pain point that ideally I’d like the Power BI team to address. Gerhard does a good job showing how to do it, but Tableau has that (and more) built in.