I disagree. As for ep 23. Sam would be dead if it weren't for Dean as well. That's my point with the whole saving people thing. Lucifer would have killed Sam if Dean had not made a deal with Michael. Therefore Dean saved Sam as well.
Also you bring up Patience giving Dean the heads up as her saving him, but Dean saved her and was the one who killed the wraith. He did more than Patience did who was tied to a chair.
For the most part, I was talking about Sam getting knocked out, down, unconscious etc. I usually say in the last half of season 13 bc that is when it happens the