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Equity Awards - Narrative (Detail)
3 Months Ended 12 Months Ended
Dec. 31, 2022
USD ($)
shares
Dec. 31, 2022
USD ($)
tranche
$ / shares
shares
Dec. 31, 2021
USD ($)
$ / shares
shares
Dec. 31, 2020
USD ($)
$ / shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Number of equity incentive plans | tranche   3    
Total intrinsic value of options exercised   $ 40,000,000 $ 140,000,000 $ 199,000,000
Fair value of stock options vested   $ 11,000,000 $ 10,000,000 7,000,000
Weighted-average grant date fair value of options granted (in USD per share) | $ / shares   $ 273.63 $ 248.85  
Total unrecognized compensation cost, adjusted for estimated forfeitures, related to unvested stock options $ 84,000,000 $ 84,000,000    
Dividend yield (in percent)   0.00%    
Common stock options        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Weighted-average remaining vesting period   2 years    
Restricted stock units with service condition only        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Number of shares outstanding (in shares) | shares 5,300,000 5,300,000    
Restricted stock units with service and performance conditions        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Number of shares outstanding (in shares) | shares 400,000 400,000    
RSUs        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Weighted-average remaining vesting period   3 years    
Number of shares outstanding (in shares) | shares 5,737,000 5,737,000 5,808,000  
Aggregate intrinsic value, vested   $ 1,500,000,000 $ 2,100,000,000 $ 1,800,000,000
Aggregate intrinsic value, outstanding $ 2,200,000,000 2,200,000,000    
Aggregated intrinsic value, expected to vest 1,900,000,000 $ 1,900,000,000    
Weighted-average grant date fair value, granted (in USD per share) | $ / shares   $ 541.24 $ 577.26 $ 367.52
Unrecognized compensation expense expected to be recognized $ 2,200,000,000 $ 2,200,000,000    
Performance shares        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Performance target (in percent)   100.00%    
Vesting period (in years)   2 years    
Allocated share-based compensation expense   $ 121,000,000 $ 124,000,000 $ 70,000,000
2012 Employee Stock Purchase Plan        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Common stock purchase price, percentage   85.00%    
Award offering period   6 months    
Number of shares of common stock outstanding, increase, percentage   1.00%    
2005 Stock Plan and 2012 Plan        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Stock options granted to new employees vest, percentage per annum   25.00%    
Requisite service period to vest employment continuation period   3 years    
2021 Performance Awards        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Service period (in years)   2 years    
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche one        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche two        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche three        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche four        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche five        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche six        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche seven        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | Common stock options | Chief Executive Officer | Tranche eight        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting percentage 12.50%      
2021 Performance Awards | ESPP obligations | Chief Executive Officer        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Shares granted, value, share-based payment arrangement, before forfeiture     $ 232,000,000  
Number of vesting tranches     8  
2021 Performance Awards | Minimum        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Performance target (in percent)   0.00% 0.00%  
2021 Performance Awards | Minimum | ESPP obligations | Chief Executive Officer        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Description of service or performance condition required to be met for earning right to award under share-based payment arrangement. Includes, but is not limited to, combination of market, performance or service condition     2 years  
2021 Performance Awards | Maximum        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Performance target (in percent)   200.00% 200.00%