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Stock-Based Compensation - Stock Options (Details) - Stock Options - USD ($)
$ / shares in Units, shares in Thousands, $ in Millions
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Stock Option Program    
Balance at the beginning of the period 34,569  
Granted - Annual 3,457  
Exercised (3,390)  
Forfeited (96)  
Balance at the end of the period 34,540  
Options exercisable 27,295  
Options exercisable, exercise price $ 135.36  
Weighted average exercise price - Beginning balance 138.98  
Weighted average exercise price - Granted - Annual 200.80  
Weighted average exercise price - Exercised 90.13  
Weighted average exercise price - Forfeited 198.89  
Weighted average exercise price - Ending balance $ 149.80  
Weighted average remaining contractual life for options outstanding 66 months  
Weighted average remaining contractual life for options exercisable 56 months  
Aggregate intrinsic value for options outstanding $ 910  
Aggregate intrinsic value for options exercisable $ 910  
Expiration of annual grants 10 years  
Compensation expense yet to be recognized $ 79  
Expense recognition period 22 months  
Total intrinsic value of stock options exercised $ 368 $ 411
Cash received from options exercised 304 270
Tax benefit realized from exercise of stock options $ 77 $ 87
Share- based compensation assumptions    
Weighted average exercise price $ 201.12  
Risk-free interest rate (as a percent) 2.60%  
Dividend yield (as a percent) 2.50%  
Expected volatility (as a percent) 20.40%  
Expected life 79 months  
Black-Scholes fair value $ 34.19  
Maximum    
Stock Option Program    
Vesting period 3 years  
Minimum    
Stock Option Program    
Vesting period 1 year