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Share-Based Compensation Other Share-Based Compensation Data (Details) - USD ($)
$ / shares in Units, shares in Millions, $ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Share-based compensation expense, before tax $ 925 $ 800 $ 679
Share-based compensation expense, net of tax effects 836 719 619
Income tax benefit realized from share-based award exercises 207 $ 173 $ 208
Unrecognized compensation expense related to share awards $ 1,165    
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition 1 year 3 months 18 days    
Stock Options [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Weighted-average grant date fair value of shares granted, per share $ 116 $ 71 $ 54
Total intrinsic value of stock options exercised $ 1,419 $ 1,519 $ 1,736
Restricted Stock Units (RSUs) [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Weighted-average grant date fair value per share $ 483 $ 352 $ 303
Total fair value of restricted shares vested $ 760 $ 560 $ 574
Employee Stock Purchase Plan (ESPP) [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Number of shares purchased 1 1 1