Do tables in SQL Server Express need to be added programmatically?

Do tables in SQL Server Express need to be added programmatically? I installed SQL Server Express 2014.  I'm uncertain how to create a table ... then add fields to that table. I did run SQL Server 2014 Management Studio ... File -> New -> Project ... resulted in .ssmssln, .ssms_suo, and ssmssqlproj files. Double clicking on the .ssmssln file opens the Management Studio ... File -> Connect Object Explorer lead to the Database engine. Was this sequence correct?  Next steps?  Or does this need to be done programmatically? bhs67