I don't think you see this a lot with pros who use flash, it's a lot faster to use a meter than to snap and check, snap and check, snap and check. Clients don't have that kind of time, even if you think you do.
On the other hand, the histogram and preview is the most informative meter available, provided that it accurately reflects raw data. Even with film, photographers relied on polaroids to act as a preview, and took several meter readings, way more than we would today with digital, to act as a "histogram".
Nevertheless, as a result, I think there is a valid argument that handheld meters are becoming obsolete, simply because the feedback in camera is so revealing and fast. On the other hand, like I said, adeptly using a meter is faster - especially an incident meter.
I'm not terribly experienced with studio lighting, and I no longer have a flash meter. Kludging about does "work", but it takes time:
I did this without a meter, and I don't think it'd be much better if I had one. Of course, my model didn't have anywhere to go, either. Perhaps if I had more studio experience I would have had a better idea what the exposure should have been relative to where the lights were placed, but for most of us starting out, it's going to be pretty hard to predict. You're going to rely on trial and error a lot, and your paying clients don't have the time for you to fiddle around with lights just to get an initial exposure.