Dynamic metasurface antennas (DMA) provide a solution to form compact, cost-effective, energy-efficient multiple-input-multiple output (MIMO) arrays. In this paper, we implement a practical hierarchical codebook with a realistic DMA design through electromagnetic simulations. We leverage existing DMA models to derive a novel method for enhancing the beamforming gain. We find that the proposed method provides better coverage and spectral efficiency results than prior methods. We also present and verify a new technique for creating wide beamwidths through the DMA and hierarchical codebook. Additionally, we use a detailed transmitter architecture model to determine the power consumption savings of the DMA compared to a typical phased array. The DMA largely outperforms a passive phased array in terms of spectral and energy efficiency due to high component loss from a high-resolution passive phase shifter. While the DMA provides lower spectral efficiency results than the active phased array, the DMA achieves a higher energy efficiency because of the significant power consumption for the active phase shifters. Therefore, we find that DMAs in a realistic wireless environment provide sufficient coverage and spectral efficiency compared to typical phased arrays while maintaining a substantially lower power consumption.