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Stock-Based Compensation - Stock Options (Details) - Stock Options - USD ($)
$ / shares in Units, $ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Stock Option Program    
Balance at the beginning of the period 36,196,232  
Granted - Annual 5,409,628  
Exercised (5,203,405)  
Canceled (137,827)  
Balance at the end of the period 36,264,628  
Options exercisable 25,532,812  
Options exercisable, exercise price $ 107.67  
Weighted average exercise price - Beginning balance 112.07  
Weighted average exercise price - Granted - Annual 175.93  
Weighted average exercise price - Exercised 90.05  
Weighted average exercise price - Canceled 161.38  
Weighted average exercise price - Ending balance $ 124.57  
Weighted average remaining contractual life for options outstanding 72 months  
Weighted average remaining contractual life for options exercisable 59 months  
Aggregate intrinsic value for options outstanding $ 3,095  
Aggregate intrinsic value for options exercisable $ 2,610  
Expiration of annual grants 10 years  
Compensation expense yet to be recognized $ 85  
Expense recognition period 22 months  
Total intrinsic value of stock options exercised $ 526 $ 573
Cash received from options exercised 468 630
Tax benefit realized from exercise of stock options $ 179 $ 212
Maximum    
Stock Option Program    
Vesting period 3 years  
Minimum    
Stock Option Program    
Vesting period 1 year  
Annual Stock Option Program    
Share- based compensation assumptions    
Weighted average exercise price $ 175.76  
Risk-free interest rate (as a percent) 2.10%  
Dividend yield (as a percent) 2.50%  
Expected volatility (as a percent) 17.30%  
Expected life 78 months  
Black-Scholes fair value $ 23.51