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Segment Information - Reconciliation of Adjusted EBITDA from Segment to Consolidated Statements (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Segment Reporting Information [Line Items]      
Adjusted EBITDA $ 34,708 $ 30,826 $ 34,258
Adjustments 87 233 180
Depreciation (8,628) (8,320) (8,663)
Amortization (5,176) (4,780) (4,290)
Interest expense (4,281) (4,588) (4,567)
Investment and other income (loss), net 2,557 1,160 438
Income before income taxes $ 19,093 14,065 $ 16,996
Gain (loss) Related to Legal Settlement      
Segment Reporting Information [Line Items]      
Adjustments   $ 177