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Share-Based Compensation - Activity Related to Stock Options (Detail) - Stock Option Awards - $ / shares
9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Number of shares    
Balance at beginning of the period (in shares) 714,420,000 686,366,000
Granted (in shares) 127,090,000 97,620,000
Exercised (in shares) (50,375,000) (41,697,000)
Forfeited or expired (in shares) (12,227,000) (27,328,000)
Balance at end of the period (in shares) 778,908,000 714,961,000
Exercisable at period end (in shares) 533,784,000 500,349,000
Weighted Average Exercise Price    
Balance at beginning of the period (in usd per share) $ 61.41 $ 58.24
Granted (in usd per share) 70.34 82.02
Exercised (in usd per share) 52.99 53.12
Forfeited or expired (in usd per share) 72.79 68.19
Balance at end of the period (in usd per share) 63.23 61.41
Exercisable at period end (in usd per share) $ 58.60 $ 56.70