Segment, Geographic and Other Revenue Information - Revenues By Geographic Area (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenues	$ 100,330	$ 81,288	$ 41,651
United States [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenues	42,473	29,746	21,455
Developed Europe [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenues	21,982	18,336	7,788
Developed Rest of World [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenues	15,778	12,506	4,036
Emerging Markets [Member]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenues	$ 20,097	$ 20,701	$ 8,372