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Revenue from Contracts with Customers
6 Months Ended
Jun. 30, 2021
Revenue from Contract with Customer [Abstract]  
Revenue from Contracts with Customers Revenue from Contracts with Customers
Disaggregation of Revenue
The following table summarizes revenue from contracts with customers by principal service line (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Commercial Risk Solutions$1,349 $1,126 $2,638 $2,272 
Reinsurance Solutions500 448 1,422 1,296 
Retirement Solutions440 393 874 790 
Health Solutions307 258 843 760 
Data & Analytic Services294 274 645 605 
Elimination(4)(2)(11)(7)
Total revenue$2,886 $2,497 $6,411 $5,716 
Consolidated revenue from contracts with customers by geographic area, which is attributed on the basis of where the services are performed, is as follows (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
United States$1,263 $1,107 $2,571 $2,334 
Americas other than United States268 219 518 447 
United Kingdom498 444 1,028 944 
Ireland39 21 72 44 
Europe, Middle East, & Africa other than United Kingdom and Ireland499 404 1,590 1,359 
Asia Pacific319 302 632 588 
Total revenue$2,886 $2,497 $6,411 $5,716 

Contract Costs
An analysis of the changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Balance at beginning of period$241 $229 $339 $335 
Additions336 274 682 592 
Amortization(357)(313)(800)(729)
Impairment— — — — 
Foreign currency translation and other(5)
Balance at end of period$222 $193 $222 $193 

An analysis of the changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
Three Months Ended June 30,Six Months Ended June 30,
2021202020212020
Balance at beginning of period$185 $167 $184 $171 
Additions15 16 28 28 
Amortization(13)(11)(25)(23)
Impairment— — — — 
Foreign currency translation and other(12)— (12)(4)
Balance at end of period$175 $172 $175 $172