Load calculations size the equipment. They can't show where the air goes once it leaves the diffuser. When airflow isn't modeled, teams oversize fans, chillers, and cooling units to be safe.
They pay for it in equipment and energy every year. Or they find the hot spot, the draft, or the stale corner after commissioning, where every fix means new hardware and downtime.
CFD analysis for HVAC models airflow, temperature, contaminants, and pressure in the real space. You see dead zones, drafts, and short-circuiting before anything is installed. Your design team then makes the change on paper, not on site.