Of course, I hope you'd agree that such an accusation would not always be plausible - the higher the personal risk of the act relative to the potential reward, the less plausible selfishness is and the more plausible altruism is.
I personally have acted altruistically - as you describe it, "actively and knowingly doing good for someone else for absolutely no personal benefit". I can't prove it to you, but I think it's a natural consequence of empathy. I'd posit that altruistic acts are often done by those in situations where they are vulnerable themselves, which is why events like natural disasters are often accompanied by unusual levels of social cohesion and acts of personal sacrifice. That instinct can be exploited, of course; yet, by itself, it is a beautiful thing.