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Stock-Based Compensation - Stock Options (Details) - Stock Options - USD ($)
$ / shares in Units, shares in Thousands, $ in Millions
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Stock Option Program    
Balance at the beginning of the period 34,965  
Granted - Annual 3,174  
Exercised (2,378)  
Forfeited (73)  
Balance at the end of the period 35,688  
Options exercisable 27,222  
Options exercisable, exercise price $ 120.84  
Weighted average exercise price - Beginning balance 125.73  
Weighted average exercise price - Granted - Annual 233.62  
Weighted average exercise price - Exercised 89.67  
Weighted average exercise price - Canceled 186.24  
Weighted average exercise price - Ending balance $ 137.60  
Weighted average remaining contractual life for options outstanding 71 months  
Weighted average remaining contractual life for options exercisable 60 months  
Aggregate intrinsic value for options outstanding $ 2,226  
Aggregate intrinsic value for options exercisable $ 2,066  
Expiration of annual grants 10 years  
Compensation expense yet to be recognized $ 102  
Expense recognition period 23 months  
Total intrinsic value of stock options exercised $ 345 $ 465
Cash received from options exercised 212 416
Tax benefit realized from exercise of stock options $ 73 $ 158
Share- based compensation assumptions    
Weighted average exercise price $ 233.63  
Risk-free interest rate (as a percent) 2.70%  
Dividend yield (as a percent) 2.40%  
Expected volatility (as a percent) 21.00%  
Expected life 78 months  
Black-Scholes fair value $ 41.59  
Maximum    
Stock Option Program    
Vesting period 3 years  
Minimum    
Stock Option Program    
Vesting period 1 year