How to improve the performance of a SQL query that runs very slow in SSRS reports

I wrote a query that has 5 CTEs for my SSRS Report. In SSMS, it takes only 33 seconds, but it takes 5 minutes to render in the report. I tried to use Stored Procedure, indexes in the table,  but did not improve. How can I speed up the rendering in the report? Will changing to Temp Tables will help? If so, how to make this into temp tables? Here is the part of my query:

SELECT
a1.Total_Pat,
a1.Total_Ord,
a1.Total_Order_Lines,
a1.Total_Bill_Amt,
a1.Extract_Date,
a2.Total_Unique_Pat_Monthly,
a2.Total_Ord_Monthly,
a2.Total_Order_Lines_Monthly,
a2.Total_Bill_Amt_Monthly,
a2.Trns_Acc_Period,
a3.Tot_Unique_Pat_Row,
a3.Tot_Order_Row,
a3.Total_Order_Lines_Row,
a3.Tot_Billed_Amt_Row

FROM
 (select Count(Distinct Patient_Number) AS Total_Pat,
         Count(Distinct Order_No) AS Total_Ord,
         Count(Line_No) AS Total_Order_Lines,
         Sum(Billed_Amt) AS Total_Bill_Amt,
         Extract_Date
   from Main table1
   INNER JOIN Code AS cc ON table1.Cov_Cd_Prim = cc.Code
   WHERE (table1.Trns_Acc_Period IN (@AccountYear)) AND (cc.Group1 IN (@CoverageCode))
            AND (table1.Prod_Grp IN (@ProductGroup)) AND (table1.L_ACCT IN (@AccountNumber))
            AND (table1.Bill_Flag IN (@BillFlag))
            AND (table1.HCPCS IN (@HCPCSCode) OR '<ALL>' IN (@HCPCSCode))
   GROUP BY table1.Extract_Date
 ) AS a1,
 (SELECT
       sum(Total_Unique_Pat_Monthly) AS Total_Unique_Pat_Monthly,
       sum(Total_Ord_Monthly) AS Total_Ord_Monthly,
       Sum(Total_Order_Lines_Monthly) AS Total_Order_Lines_Monthly,
       Sum(Total_Bill_Amt_Monthly) AS Total_Bill_Amt_Monthly,
       tmp.Group1,
       tmp.Trns_Acc_Period     
  FROM
  (
   SELECT cc.Group1,
         a.Trns_Acc_Period,
         Count(Distinct Patient_Number) AS Total_Unique_Pat_Monthly,
         Count(Distinct Order_No) AS Total_Ord_Monthly,
         Count(Line_No) AS Total_Order_Lines_Monthly,
         Sum(Billed_Amt) AS Total_Bill_Amt_Monthly
 
   FROM Main ord
   INNER JOIN Code AS cc ON ord.Cov_Cd_Prim = cc.Code
   INNER JOIN Acc_Period_201210_201309 AS a ON a.Trns_Acc_Period = ord.Trns_Acc_Period
                                                    AND a.Group1 = cc.Group1
                                                    AND a.Cov_Cd_Prim = cc.Code
   WHERE (ord.Trns_Acc_Period IN (@AccountYear)) AND (cc.Group1 IN (@CoverageCode))
        AND (ord.Prod_Grp IN (@ProductGroup)) AND (ord.L_ACCT IN (@AccountNumber))
        AND (ord.Bill_Flag IN (@BillFlag))
        AND (ord.HCPCS IN (@HCPCSCode) OR '<ALL>' IN (@HCPCSCode))
   GROUP BY a.Trns_Acc_Period, cc.Group1
  
   UNION
   SELECT a.Group1, a.Trns_Acc_Period, 0, 0, 0, 0
   FROM Code c
   INNER JOIN Acc_Period_201210_201309 a ON a.Group1 = c.Group1
   ) AS tmp
   WHERE (tmp.Group1 IN (@CoverageCode))
      
   GROUP BY tmp.Group1, tmp.Trns_Acc_Period
   ) AS a2,

  (select Count(Distinct Patient_Number) AS Tot_Unique_Pat_Row,
         Count(Distinct Order_No) AS Tot_Order_Row,
         Count(Line_No) AS Total_Order_Lines_Row,
         Sum(Billed_Amt) AS Tot_Billed_Amt_Row,
         cc.Group1     
   from Main ord3
   INNER JOIN Code AS cc ON ord3.Cov_Cd_Prim = cc.Code
   WHERE (ord3.Trns_Acc_Period IN (@AccountYear)) AND (cc.Group1 IN (@CoverageCode))
        AND (ord3.Prod_Grp IN (@ProductGroup)) AND (ord3.L_ACCT IN (@AccountNumber))
        AND (ord3.Bill_Flag IN (@BillFlag))
        AND (ord3.HCPCS IN (@HCPCSCode) OR '<ALL>' IN (@HCPCSCode))
   GROUP BY cc.Group1
   ) AS a3,

Thanks,

Jkrish