The most efficient way to calculate a percentile of a stream that I have found is the P² algorithm: Raj Jain, Imrich Chlamtac: The P² Algorithm for Dynamic Calculation of Quantiiles and Histograms Without Storing Observations. Commun. ACM 28(10): 1076-1085 (1985)
The algorithm is straight forward to implement and works extremely well. It is an estimate, however, so keep that in mind. From the abstract:
A heuristic algorithm is proposed for dynamic calculation qf the median and other quantiles. The estimates are produced dynamically as the observations are generated. The observations are not stored; therefore, the algorithm has a very small and fixed storage requirement regardless of the number of observations. This makes it ideal for implementing in a quantile chip that can be used in industrial controllers and recorders. The algorithm is further extended to histogram plotting. The accuracy of the algorithm is analyzed.