{id: 123, user: 'User14', score: 101}
{id: 231, user: 'User10', score: 400}
{id: 412, user: 'User90', score: 244}
{id: 111, user: 'User12', score: 310}
{id: 221, user: 'User88', score: 900}
{id: 521, user: 'User13', score: 103}

+ thousands more...

highscores
    .find()
    .sort({'score': -1})
    .limit(5)
    .exec(function(err, users) { ...code... });