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Revenue from Contracts with Customers
12 Months Ended
Dec. 31, 2023
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):
Years Ended December 31
202320222021
Commercial Risk Solutions$7,043 $6,715 $6,635 
Reinsurance Solutions2,481 2,190 1,997 
Health Solutions2,433 2,224 2,154 
Wealth Solutions1,431 1,367 1,426 
Elimination(12)(17)(19)
Total revenue$13,376 $12,479 $12,193 
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):
Years Ended December 31
202320222021
U.S.$5,923 $5,666 $5,459 
Americas other than U.S.1,260 1,137 1,027 
U.K.1,819 1,660 1,681 
Ireland113 99 127 
Europe, Middle East, & Africa other than U.K. and Ireland2,672 2,443 2,565 
Asia Pacific1,589 1,474 1,334 
Total revenue$13,376 $12,479 $12,193 
Contract Costs
Changes in the net carrying amount of costs to fulfill contracts with customers are as follows (in millions):
20232022
Balance at beginning of period$355 $361 
Additions1,532 1,479 
Amortization(1,522)(1,480)
Impairment— — 
Foreign currency translation and other(5)
Balance at end of period$370 $355 
Changes in the net carrying amount of costs to obtain contracts with customers are as follows (in millions):
20232022
Balance at beginning of period$185 $179 
Additions57 56 
Amortization(51)(49)
Impairment— — 
Foreign currency translation and other(1)
Balance at end of period$195 $185